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

Zachary Jacques

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1043043383

Zachary Jacques is an Electroneurodiagnostic Specialist/Technologist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1715 S Baltimore Ave
Tulsa, OK 74119-4807
Phone: (918) 895-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1043043383
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 22, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address1715 S Baltimore Ave, Tulsa, OK 74119-4807

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