Individual
JAY W VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1265 S UTICA AVE, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9198 HIGHWAY 82A, TAHLEQUAH, OK 74464-8613
(918) 457-8638
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
92169
OK
363LF0000X
Family Nurse Practitioner
Primary
92169
OK
Other
Enumeration date
04/23/2018
Last updated
10/21/2025
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