Individual provider · Type 1 NPI

Sasa K. Jackson, PA-C

Physician Assistant · Moore, OK

NPI number 1447521539 Active

Practice location

1400 SE 4th St, Ste H
Moore, OK 73160-7329

Fax (405) 799-7405

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2107 (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 1447521539

Sasa K. Jackson, PA-C's National Provider Identifier is 1447521539, issued on Jan 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moore, OK. The record was last updated on Jan 20, 2012.