Individual provider · Type 1 NPI

Jensen Cooper, PA(ASCP)

Physician Assistant · Tulsa, OK

NPI number 1104730415 Active

Practice location

5110 S Yale Ave Ste 100
Tulsa, OK 74135-7438

Mailing address

5110 S Yale Ave
Tulsa, OK 74135-7401

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25925444 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104730415

Jensen Cooper, PA(ASCP)'s National Provider Identifier is 1104730415, issued on Oct 1, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Oct 1, 2026.