Acuna, Jennifer M

Acuna, Jennifer M is an individual health care provider with primary practice located at 6839 S Canton Ave , Tulsa OK 74136-3402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Acuna, Jennifer M can be contacted via phone (918) 494-0612.

Contact Information

Primary practice address
6839 S Canton Ave Tulsa OK 74136-3402
Phone: (918) 494-0612
Fax: (918) 841-5170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1605 Oklahoma

Profile Details

NPI number 1306981071
LBN Legal business name Acuna, Jennifer M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Oct 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306981071 NPPES
Oklahoma MEDICAID 200105940A

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