Ange, Jetta

Ange, Jetta is an individual health care provider with primary practice located at 619 N Main St Building D, Muskogee OK 74401-4431. 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. Ange, Jetta can be contacted via phone (918) 682-0222.

Contact Information

Primary practice address
619 N Main St Building D Muskogee OK 74401-4431
Phone: (918) 682-0222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2764 Oklahoma

Profile Details

NPI number 1336686492
LBN Legal business name Ange, Jetta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2017
Last updated Apr 28th, 2022 - about 3 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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