Individual provider · Type 1 NPI

Jillian Melinda Shawn Brassfield

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

NPI number 1548003288 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

7224 S Elwood Ave Apt 3107
Tulsa, OK 74132-2400

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 1548003288

Jillian Melinda Shawn Brassfield's National Provider Identifier is 1548003288, issued on Jun 18, 2024. 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 Jun 18, 2024.