Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna Ivy

Individual provider Speech-Language Assistant · NPI 1619680048

Jenna Ivy is a Speech-Language Assistant in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.

Licensed in
OK
In the registry since
2022
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Practice location Address checks out

11410 S Granite Ave
Tulsa, OK 74137-8111
Phone: (918) 629-5047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA305 (OK)

Record details

NPI number1619680048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2022
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022
Mailing address11410 S Granite Ave, Tulsa, OK 74137-8111

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