Individual
JENNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
649 W 78TH PL, TULSA, OK 74132-2642
(918) 948-2262
Mailing address
649 W 78TH PL, TULSA, OK 74132-2642
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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