Individual
JESSICA ROBIN GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 S TRENTON AVE, TULSA, OK 74120-5418
(918) 579-7100
Mailing address
13648 KENOSHA AVE, GLENPOOL, OK 74033-3829
(918) 807-8083
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
206537
OK
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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