Jared Qualls
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine
1145 S Utica Ave Suite 460
Tulsa
, Oklahoma 74104-4000
Jared Qualls
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine
1145 S Utica Ave Suite 460
Tulsa
, Oklahoma 74104-4000
(918) 579-5762
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jared Qualls
- 1145 S Utica Ave Suite 460
- Tulsa, OK
- Zip : 74104-4000
- Fax : (918) 579-5762
- Phone : (918) 579-5749
Second Address
- Jared Qualls
- 1145 S Utica Ave Suite 460
- Tulsa, OK
- Zip : 74104-4000
- Fax : (918) 579-5762
- Phone : (918) 579-5749
Reviews
FAQs
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What type of doctor is Jared Qualls
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Is Jared Qualls a sole practitioner?
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Does Jared Qualls accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 102252 | OK |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 102252 | OK |
National Provider Identifier
| NPI | 1003279498 |
|---|---|
| Provider Name | Jared Qualls |
| First Address | Tulsa, OK 74104-4000 |
| Second Address | Tulsa, OK 74104-4000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2016 |
| Last Update Date | 21/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.