Individual provider · Type 1 NPI

Jamie Tenille Edminsten, PA-C

Medical Physician Assistant · Norman, OK

NPI number 1003955170 Active

Practice location

3650 W Rock Creek Rd
Norman, OK 73072-2202

Fax (405) 364-9627

Mailing address

4200 W Memorial Rd, Suite 606
Oklahoma City, OK 73120-9350

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XAPA1602 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1003955170

Jamie Tenille Edminsten, PA-C's National Provider Identifier is 1003955170, issued on Feb 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norman, OK. The record was last updated on Apr 2, 2015.