Individual provider · Type 1 NPI
Nick Jansen, PA-C
Medical Physician Assistant · Rota, MP
NPI number
1306193727
Active
Practice location
Songsong Village
Rota, MP 96951-1249
Fax (670) 532-0698
Mailing address
PO Box 1249
Rota, MP 96951-1249
Other practice locations
- 31870 E State Highway 51, Coweta, OK 74429-7900 · (918) 279-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2161 (OK) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1306193727
Nick Jansen, PA-C's National Provider Identifier is 1306193727, issued on Aug 6, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rota, MP. The record was last updated on Oct 23, 2025.