Provider Demographics
NPI:1619638632
Name:STEYL, JILLIAN (APRN)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:STEYL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:
Other - Last Name:WEINBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
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:888-247-0125
Mailing Address - Fax:918-502-8001
Practice Address - Street 1:6600 S YALE AVE STE 850
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3381
Practice Address - Country:US
Practice Address - Phone:918-481-7700
Practice Address - Fax:918-481-7701
Is Sole Proprietor?:No
Enumeration Date:2022-01-02
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0101727163W00000X
OK206475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK201044650AMedicaid
OK201044650Medicaid