Individual provider · Type 1 NPI

Shannon Denise Ijams, PA-C

Medical Physician Assistant · Tulsa, OK

NPI number 1154691244 Active

Practice location

1334 N Lansing Ave
Tulsa, OK 74106-5907

Call (918) 587-2171 Map

Mailing address

PO Box 268838
Oklahoma City, OK 73126-8838

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X906 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1154691244

Shannon Denise Ijams, PA-C's National Provider Identifier is 1154691244, issued on Jan 5, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on Jan 5, 2012.