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Jessica M Acosta, PA-C

Physician Assistant, Surgical in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1578884458
StatusActive
Last updated in NPPESApr 13, 2023

Details

NPI
1578884458
Entity type
Individual (NPI-1)
Name
Jessica M Acosta
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2010
Certification date
Apr 13, 2023
Last updated
Apr 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical2934OKYes
363A00000X Physician Assistant––

Practice location

608 Nw 9th St Ste 5010
Oklahoma City, OK 73102-1058

Phone 405-979-7875 · Fax 405-979-7880

Mailing address

3300 Nw Expressway
Oklahoma City, OK 73112-4418

Phone 405-949-3011 · Fax 405-979-7880

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