Jacqueline Elane Briscoe, RRT

Individual provider Active NPI Registered Respiratory Therapist · Bixby, OK

NPI 1306301353 · NPPES record last updated Feb 6, 2019

Key facts

NPI
1306301353
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
RRT4409 (OK)
Practice address
6032 E 145TH St S
Bixby, OK 74008-4092
Phone
(786) 290-9828
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RRT4409OKMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RRT4409 OK Yes

Addresses

Primary practice location

6032 E 145TH St S
Bixby, OK 74008-4092

Mailing address

6032 E 145TH St S
Bixby, OK 74008-4092
Phone (786) 290-9828

Other providers in Bixby, OK

All providers in Bixby, OK · Registered Respiratory Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.