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Contact Information

JASON M DEBRUYCKER, RRNA
6161 S YALE AVE
TULSA, OK74136-1902
 Phone: 918-494-0612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JASON M DEBRUYCKER · (Male)

NPI # 1255668661
Status Active
Credentials RRNA
Entity Individual
Enumeration date 11/05/2009
Last updated 04/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 200483
  • TX License # 083704
Hospital affiliation(s)
  • HILLCREST HOSPITAL SOUTH - (Acute Care)
    8801 SOUTH 101ST EAST AVENUE
    TULSA, OK 74133
  • HILLCREST MEDICAL CENTER - (Acute Care)
    1120 SOUTH UTICA AVENUE
    TULSA, OK 74104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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