Individual
JACQUELINE GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2424 E 21ST ST STE 340, TULSA, OK 74114-1722
(918) 728-3100
(918) 728-3376
Mailing address
2424 E 21ST ST STE 340, TULSA, OK 74114-1722
(918) 728-3100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38269
OK
207N00000X
Dermatology Physician
M-13903
ID
Other
Enumeration date
05/14/2013
Last updated
01/13/2026
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