IndividualActive
Jesse Misthaven, RN
NPI 1720685175 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Tulsa, OK
Provider details
- NPI number
- 1720685175
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 99598 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (918) 664-4224
Approximate (ZIP-level) locationGet directions
Mailing address
6333 E Skelly Dr
Tulsa, OK 74135-6106
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.