Individual
JAYNE ELIZABETH CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1805
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2103
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428780A
—
OK
Enumeration date
02/06/2012
Last updated
11/20/2017
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