NPI 1003360884

Jesse Smith, SPECIALCAREPARA

Practitioner Nurse's Aide Tahlequah, OK

Practice location

Address: 225 N Water Ave, Tahlequah, OK 74464-2825
Phone: (918) 458-4100

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

Other Nurse's Aide providers in Oklahoma →

Registry record

NPI: 1003360884
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2016
Record last updated: 9 Aug 2016

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.