Healthcare Provider Details

I. General information

NPI: 1588242556
Provider Name (Legal Business Name): JACLYN SLATTERY DOWNS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACLYN SLATTERY DO

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 W MAIN ST
JENKS OK
74037-3429
US

IV. Provider business mailing address

6600 S YALE AVE STE 1200
TULSA OK
74136-3361
US

V. Phone/Fax

Practice location:
  • Phone: 918-298-2336
  • Fax: 918-298-2337
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number341305
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9558
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: