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NPI 1306981071 · live from the CMS NPI Registry

Jennifer M Acuna, PA-C

Physician Assistant in Tulsa, OK. National Provider Identifier 1306981071, active.

NPI record

NPI1306981071 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location6839 S Canton Ave, Tulsa, OK 74136
Practice phone918-494-0612
Mailing address6839 South Canton, Tulsa, OK 74136
EnumeratedFebruary 21, 2007
Last updatedOctober 15, 2012
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X1605 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.