NPI 1275359945

Jerry Moynihan

Practitioner Nursing Care Agency Tulsa, OK

Practice location

Address: 4028 W 42nd St, Tulsa, OK 74107-6326
Phone: (512) 571-3286

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence J081120129 (OK)

Other Nursing Care providers in Oklahoma →

Registry record

NPI: 1275359945
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Nov 2024
Record last updated: 27 Nov 2024

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.