Individual
MRS. JILL DANIELLE NERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 TUCKER DR, TULSA, OK 74104-9700
(918) 631-5228
(918) 631-3057
Mailing address
5830 S RICHMOND AVE, TULSA, OK 74135-4224
(918) 551-7043
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
329
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329
LAT
OK
Enumeration date
05/21/2007
Last updated
03/24/2008
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