Individual provider · Type 1 NPI

Jacob Nelson

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

NPI number 1902748908 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

12519 Greenlea Chase W
Oklahoma City, OK 73170-6015

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 1902748908

Jacob Nelson's National Provider Identifier is 1902748908, issued on Apr 8, 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 Apr 8, 2026.