NPI 1508478439 · live from the CMS NPI Registry
Jessica Lynn Avila, APRN-CNP
Nurse Practitioner, Family in Tulsa, OK. National Provider Identifier 1508478439, active.
NPI record
| NPI | 1508478439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 8921 S. Mingo Rd, Tulsa, OK 74133 |
| Practice phone | 918-252-8000 |
| Enumerated | August 21, 2020 |
| Last updated | May 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 78874 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.