Healthcare Provider Details

I. General information

NPI: 1194503813
Provider Name (Legal Business Name): SARAH ELIZABETH JONES LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 S 63RD WEST AVE
TULSA OK
74107-2343
US

IV. Provider business mailing address

2308 S 63RD WEST AVE
TULSA OK
74107-2343
US

V. Phone/Fax

Practice location:
  • Phone: 719-217-0166
  • Fax:
Mailing address:
  • Phone: 719-217-0166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMIDW0063
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: