Individual provider · Type 1 NPI

Ragen Jane Manatt

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1487567400 Active

Practice location

4444 E 41st St
Tulsa, OK 74135-2527

Mailing address

8336 S Lewis Ave Apt 416
Tulsa, OK 74137-1511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487567400

Ragen Jane Manatt's National Provider Identifier is 1487567400, issued on Sep 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 23, 2026.