Individual provider · Type 1 NPI

Jetta Ange, PA-C

Physician Assistant · Lawton, OK

NPI number 1336686492 Active

Practice location

702 NW Sheridan Rd
Lawton, OK 73505-5203

Call (580) 576-3376 Map

Fax (580) 576-3375

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2764 (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 1336686492

Jetta Ange, PA-C's National Provider Identifier is 1336686492, issued on Jan 27, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lawton, OK. The record was last updated on Dec 30, 2025.