Individual
JENNA GABRIELA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 N HIGHWAY 66, CATOOSA, OK 74015-3070
(918) 282-7201
Mailing address
4531 E 28TH ST, TULSA, OK 74114-6236
(918) 695-0232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF875
OK
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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