Healthcare Provider Details

I. General information

NPI: 1740114974
Provider Name (Legal Business Name): JESSICA LEIGH WALKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LEIGH REED

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12697 E 51ST ST
TULSA OK
74146-6236
US

IV. Provider business mailing address

7312 S 69TH EAST PL
TULSA OK
74133-2707
US

V. Phone/Fax

Practice location:
  • Phone: 918-505-3200
  • Fax: 918-505-3227
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201047
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: