Provider Demographics
NPI:1295800100
Name:JOCIS, JAMIE (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:JOCIS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13802 E. 83TD ST. NORTH
Mailing Address - Street 2:#103
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055
Mailing Address - Country:US
Mailing Address - Phone:918-720-6473
Mailing Address - Fax:918-579-1262
Practice Address - Street 1:1145 S. UTICA AVENUE
Practice Address - Street 2:SUITE 262
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4000
Practice Address - Country:US
Practice Address - Phone:918-579-3035
Practice Address - Fax:918-579-3299
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1448133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered