MEDICARE: MORGAN JOCHUM RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	209423	OK

General Provider Information

NPI Number	:	1144193921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN JOCHUM RN

Provider Business Mailing Address
First Line	:	15937 E OKLAHOMA ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74116-2408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15937 E OKLAHOMA ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74116-2408
Country	:	US
Telephone Number	:	903-431-3854
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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