Individual provider · Type 1 NPI

Samara Ja'nel Jack, PA-C

Physician Assistant · Tulsa, OK

NPI number 1245550433 Active

Practice location

7858 S Olympia Ave
Tulsa, OK 74132-1857

Fax (918) 986-9205

Mailing address

1705 E 19th St Ste 302
Tulsa, OK 74104-5410

Other practice locations

  • 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 · (918) 748-7585

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1919 (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 1245550433

Samara Ja'nel Jack, PA-C's National Provider Identifier is 1245550433, issued on Jun 10, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 28, 2019.