Individual
CARISSA TRINETTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105365 S HIGHWAY 102, MCLOUD, OK 74851-3051
(405) 964-2081
(405) 964-2170
Mailing address
105365 S HIGHWAY 102, MCLOUD, OK 74851-3051
(405) 964-2081
(405) 964-2170
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0104860
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22200767
CERTIFICATION BOARD FOR DIABETES CARE AND EDUCATION
—
Enumeration date
12/17/2020
Last updated
12/17/2020
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