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JESSE MISTHAVEN RN
NPI 1720685175
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Tulsa, OK

Active since October 07, 2020
6333 E SKELLY DR, TULSA, OK 74135(918) 664-4224 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jesse Misthaven Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE MISTHAVEN RN (NPI 1720685175) is an individual psychiatric/mental health, child & adolescent provider in Tulsa, Oklahoma, licensed in Oklahoma (99598) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1720685175
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameJESSE MISTHAVENCredential: RN
Location Address6333 E SKELLY DRTulsa, OK 74135-6106
Mailing Address6333 E Skelly DrTulsa, OK 74135-6106 · (918) 664-4224
Phone(918) 664-4224
Sole ProprietorNo
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1720685175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in OK · 99598
6333 E SKELLY DR, Tulsa, OK 74135
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Other Identifiers 1

MedicaidRNOK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY LEE MANUS
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KRYSTAL DAWN HUTCHINSON
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7216
MS. ABIGAIL ELIZABETH CARLISLE
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (000) 000-0000
TANYA CRAWFORD RN
Registered Nurse
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KELLI ANN ORDORICA
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7151
JAYSON SWISHER
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
IVAN HONEYCUTT
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 222-2222
GLORY S KALAKURCHA M.A.
Counselor (Addiction (Substance Use Disorder))
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Misthaven's NPI number?

The NPI number for Jesse Misthaven is 1720685175. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Jesse Misthaven located?

Jesse Misthaven practices at 6333 E Skelly Dr, Tulsa, OK 74135. The listed phone number is (918) 664-4224.

What is Jesse Misthaven's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Jesse Misthaven was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.