Search › Oklahoma › 1041C0700X
Jordan List, BA
NPI 1528685419 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2227 E Skelly Dr
Tulsa, OK 74105 - Phone
- (918) 728-2228
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
104100000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma