Individual
JUDY K WAGGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6846 S CANTON AVE STE 230, TULSA, OK 74136-3420
(918) 876-0606
Mailing address
PO BOX 311, JENKS, OK 74037-0311
(931) 876-0606
(918) 876-0604
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
M0137471
OK
Other
Enumeration date
06/28/2020
Last updated
04/21/2026
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