Provider Demographics
NPI:1588955017
Name:DRUMMOND, JILL DIONE (SA-C)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:DIONE
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2664 S TRENTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-2728
Mailing Address - Country:US
Mailing Address - Phone:918-619-2165
Mailing Address - Fax:
Practice Address - Street 1:2664 S TRENTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-2728
Practice Address - Country:US
Practice Address - Phone:918-619-2165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant