NPI Profile for JESSIE M WISSMAN in TULSA, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X | |||
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1598340697 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/10/2021 | |
| Last updated | 06/04/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSIE M WISSMAN
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