DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL SPENCER JELLISON, DO

Active

DR. SAMUEL SPENCER JELLISON, DO is a Student (Health Education/Training) healthcare provider located in TULSA, Oklahoma. NPI 1891371373 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · TULSA, OK

Registration Details

NPI Number
1891371373
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2021 (5.3653312569832 yrs)
Last Updated
Mar 23, 2021

Practice Information

Address
717 S HOUSTON AVE FL 3
TULSA, OK, 741279023
Browse OK providers · Browse ZIP 74127
Phone
9183823535
Fax
9183823559
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in TULSA, OK

Name Credential NPI
BRIAN LEE COLEY ATC/LAT 1780648147
DR. SARAH KATHLEEN HAMILL D.O. 1073706206
DR. EMAL NASIRI M.D. 1992024293
CATHERINE LOUISE HODGE M.D. 1205147915
MR. GREGORY LANCE CARTLIDGE MSW 1205145752
DR. VIJAY RAVIPATI M.D. 1871882290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.