Doretta Jenison, PA-C
Physician Assistant in Choctaw, OK. Individual provider (NPI-1).
NPI number1962047183
StatusActive
Last updated in NPPESNov 12, 2019
Details
- NPI
- 1962047183
- Entity type
- Individual (NPI-1)
- Name
- Doretta Jenison
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2019
- Last updated
- Nov 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
830 Oak Hill RdChoctaw, OK 73020-7510
Phone 619-886-0898
Mailing address
830 Oak Hill RdChoctaw, OK 73020-7510
Phone 619-886-0898
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Other Physician Assistant providers in Choctaw, OK
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All 5 Physician Assistant providers in Choctaw · All 265 providers in Choctaw
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