NPI 1003279498
Jared Qualls, APRN
Practice location
- Address
- 1145 S Utica Ave Suite 460, Tulsa, OK 74104-4000
- Phone
- (918) 579-5749
- Fax
- (918) 579-5762
Registered specialties (2)
Acute Care Nurse Practitioner
Primary
Family Nurse Practitioner
Registry record
- NPI
- 1003279498
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Apr 2016
- Record last updated
- 21 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.