MEDICARE: JUBILEE FRIZZELL

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1386324127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUBILEE FRIZZELL

Provider Business Mailing Address
First Line	:	3150 E 41ST ST STE 108A
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-3739
Country	:	US
Telephone Number	:	918-216-2605
Fax Number	:	918-216-2606

Provider Business Practice Location Address
First Line	:	4201 S WALNUT CREEK DR
Second Line	:
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-2744
Country	:	US
Telephone Number	:	918-246-1560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	06/06/2026

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Directions to “ JUBILEE FRIZZELL ” Practice Location

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