Individual provider · Type 1 NPI

Sophia Delise Hackney, PA-C

Physician Assistant · Tulsa, OK

NPI number 1265096424 Active

Practice location

8282 S Memorial Dr Ste 106
Tulsa, OK 74133-4311

Mailing address

12112 S 83rd East Ave Apt 422
Bixby, OK 74008-3344

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3052 (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 1265096424

Sophia Delise Hackney, PA-C's National Provider Identifier is 1265096424, issued on Apr 23, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 17, 2019.