Individual
JESSICA D.T. LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10505 E 91ST ST STE 205, TULSA, OK 74133-5829
(918) 307-5490
Mailing address
10505 E 91ST ST STE 205, TULSA, OK 74133-5829
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
221149
OK
Other
Enumeration date
04/20/2022
Last updated
02/13/2025
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