Provider Demographics
NPI:1831627637
Name:JONES, JESSICA LYNN (DO)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 S 101ST EAST AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5798
Mailing Address - Country:US
Mailing Address - Phone:918-293-6200
Mailing Address - Fax:918-293-6245
Practice Address - Street 1:9001 S 101ST EAST AVE STE 350
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5798
Practice Address - Country:US
Practice Address - Phone:182-936-2009
Practice Address - Fax:918-293-6245
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7234207V00000X
MI5101023225207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology