Ivy, Jenna

Ivy, Jenna is an individual health care provider with primary practice located at 11410 S Granite Ave , Tulsa OK 74137-8111. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Ivy, Jenna can be contacted via phone (918) 629-5047.

Contact Information

Primary practice address
11410 S Granite Ave Tulsa OK 74137-8111
Phone: (918) 629-5047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA305 Oklahoma

Profile Details

NPI number 1619680048
LBN Legal business name Ivy, Jenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2022
Last updated Dec 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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