Individual
JANIS KAY GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4612 S HARVARD AVE STE A, TULSA, OK 74135-2929
(918) 747-5565
(918) 747-5568
Mailing address
4612 S HARVARD AVE STE A, TULSA, OK 74135-2929
(918) 747-5565
(918) 747-5565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1535
OK
2084P0804X
Child & Adolescent Psychiatry Physician
1535
OK
363AM0700X
Medical Physician Assistant
Primary
1535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081360A
—
OK
Enumeration date
05/18/2006
Last updated
07/25/2024
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