Provider Demographics
NPI:1992693741
Name:TUGWELL, JENNIFER (BSN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:TUGWELL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11784 N 154TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-5817
Mailing Address - Country:US
Mailing Address - Phone:918-815-0946
Mailing Address - Fax:
Practice Address - Street 1:11784 N 154TH EAST AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-5817
Practice Address - Country:US
Practice Address - Phone:918-815-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKRO115583163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator