Individual provider · Type 1 NPI

Jesse Jolly, DO

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

NPI number 1750141735 Active

Practice location

1705 E 19th St Ste 703
Tulsa, OK 74104-5418

Call (918) 382-3178 Map

Mailing address

29514 E 79th St S
Broken Arrow, OK 74014-5057

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X9125 (OK)

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 1750141735

Jesse Jolly, DO's National Provider Identifier is 1750141735, issued on Mar 19, 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 Aug 18, 2025.