DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MACKENZIE RACHELLE IBISON

MEDICARE: MACKENZIE RACHELLE IBISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1225892409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE RACHELLE IBISON
Provider Business Mailing Address
First Line : 2029 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74112-7309
Country : US
Telephone Number : 918-599-7404
Fax Number :
Provider Business Practice Location Address
First Line : 2029 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74112-7309
Country : US
Telephone Number : 918-599-7404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2024
Last Update Date : 01/06/2026

Similar Medicare Providers

1699579854 — JESSICA NICOLE GROVES
Practice Location Address:
2029 S SHERIDAN RD
TULSA, OK
74112-7309
Practice Phone: 918-587-9471
Practice Fax:
1295684108 — ANNA N CROSSWHITE LPC-C
Practice Location Address:
2029 S SHERIDAN RD
TULSA, OK
74112-7309
Practice Phone: 918-587-9471
Practice Fax:
1174340772 — FAMILY & CHILDREN'S SERVICES INC
Practice Location Address:
2029 S SHERIDAN RD
TULSA, OK
74112-7309
Practice Phone: 918-587-9471
Practice Fax: 918-560-1399
1942098397 — HAVEN ELISE BYRNE
Practice Location Address:
2029 S SHERIDAN RD
TULSA, OK
74112-7309
Practice Phone: 918-587-9471
Practice Fax:
1629962535 — ARELIOUS RICHARDSON
Practice Location Address:
2029 S SHERIDAN RD
TULSA, OK
74112-7309
Practice Phone: 918-587-9471
Practice Fax:
1346139540 — LUCAS DRIEZEN
Practice Location Address:
2029 S SHERIDAN RD
TULSA, OK
74112-7309
Practice Phone: 918-500-2369
Practice Fax:

Directions to “ MACKENZIE RACHELLE IBISON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.