Organization
BALANCED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN BREWER (AUTHORIZED OFFICIAL)
(918) 716-9717
Entity
Organization
Contact information
Practice address
4146 S HARVARD AVE STE F6, TULSA, OK 74135-2642
(918) 716-9717
(855) 853-7274
Mailing address
4146 S HARVARD AVE STE F6, TULSA, OK 74135-2642
(918) 716-9717
(855) 853-7274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
07/13/2025
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