Davis, Jake A

Davis, Jake A is an individual health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114-7408. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Davis, Jake A can be contacted via phone (405) 230-9000.

Contact Information

Primary practice address
9600 Broadway Ext Oklahoma City OK 73114-7408
Phone: (405) 230-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 074782 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4820 Oklahoma

Profile Details

NPI number 1710380795
LBN Legal business name Davis, Jake A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2014
Last updated Aug 1st, 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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