Healthcare Provider Details

I. General information

NPI: 1295641710
Provider Name (Legal Business Name): JULIE RENEE BIRKY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10159 E 11TH ST STE 201
TULSA OK
74128-3058
US

IV. Provider business mailing address

10159 E 11TH ST STE 201
TULSA OK
74128-3058
US

V. Phone/Fax

Practice location:
  • Phone: 918-384-4547
  • Fax: 918-384-4699
Mailing address:
  • Phone: 918-384-4547
  • Fax: 918-384-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR0082776
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR0082776
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: