Individual provider · Type 1 NPI
Jesse Misthaven, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Tulsa, OK
NPI number
1720685175
Active
Practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 99598 (OK) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1720685175
Jesse Misthaven, RN's National Provider Identifier is 1720685175, issued on Oct 7, 2020. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Tulsa, OK. The record was last updated on Oct 7, 2020.