Healthcare Provider Details

I. General information

NPI: 1811690043
Provider Name (Legal Business Name): JOCELYN WEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 E 19TH ST STE 600
TULSA OK
74104-5417
US

IV. Provider business mailing address

717 S HOUSTON AVE STE 400
TULSA OK
74127-9007
US

V. Phone/Fax

Practice location:
  • Phone: 918-382-4600
  • Fax:
Mailing address:
  • Phone: 918-382-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8528
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW4992
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: