Kelly Janell Petree
Nurse Practitioner, Psych/Mental Health in Tulsa, OK. Individual provider (NPI-1).
NPI number1982244695
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1982244695
- Entity type
- Individual (NPI-1)
- Name
- Kelly Janell Petree
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 212074 | OK | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 2020000885 | MO |
Practice location
9228 S Mingo Rd Ste 101&103Tulsa, OK 74133-5718
Phone 405-378-2727
Mailing address
9228 S Mingo Rd Ste 101&103Tulsa, OK 74133-5718
Phone 405-378-2727 · Fax 918-518-7258
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All 66 Psychiatric/Mental Health Nurse Practitioner providers in Tulsa · All 22,692 providers in Tulsa
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