Provider Demographics
NPI:1962975458
Name:MORALES, JERRIE DE'NIECE (APRN)
Entity type:Individual
Prefix:
First Name:JERRIE
Middle Name:DE'NIECE
Last Name:MORALES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:918-488-6687
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6160 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1930
Practice Address - Country:US
Practice Address - Phone:918-495-2685
Practice Address - Fax:918-495-2660
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2022-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK84859363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care