NPI 1457937138
Jacy D Donnelly, DO
Practice location
- Address
- 512 W Atlanta St, Broken Arrow, OK 74012-7004
- Phone
- (918) 370-4461
- Fax
- (918) 512-4723
- Mailing address
- 5310 E 31st St STE Ll, Tulsa, OK 74135-5018
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1457937138
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Mar 2021
- Record last updated
- 4 Jul 2025
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.