IndividualActive
Cheryl Gonzalis
NPI 1104361096 · Licensed Practical Nurse · Jay, OK
Provider details
- NPI number
- 1104361096
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- L0040074 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
859 E Melton Dr.
Jay, OK 74346
Phone: (918) 253-1759
Fax: (918) 253-6822
Approximate (ZIP-level) locationGet directions
Mailing address
859 E Melton Dr.
Jay, OK 74346
Registry dates
- Enumerated
- 2016-12-30
- Last updated
- 2016-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.