Provider Demographics
NPI:1720857808
Name:FALLING, JIMMIE BETH
Entity Type:Individual
Prefix:
First Name:JIMMIE
Middle Name:BETH
Last Name:FALLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 E 32ND ST APT 16
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-4443
Mailing Address - Country:US
Mailing Address - Phone:918-206-2957
Mailing Address - Fax:
Practice Address - Street 1:3609 E 32ND ST APT 16
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-4443
Practice Address - Country:US
Practice Address - Phone:918-206-2957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist