Individual provider · Type 1 NPI
Destiny L. Rose, PA-C
Medical Physician Assistant · Edmond, OK
NPI number
1588264402
Active
Practice location
2000 E 15th St Ste 400A
Edmond, OK 73013-6673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4412 (OK) |
Medical Physician Assistant: Definition to come...
8 other providers at this address
- Variety Care, Inc.Federally Qualified Health Center (FQHC) Edmond, OK NPI 1477347789
- Ashley Morgan Garrison, PA-CPhysician Assistant Edmond, OK NPI 1184142259
- Bryan Marshall Tison, PNP-PCPediatric Nurse Practitioner Edmond, OK NPI 1922518232
- Louis GuerrantPhysician Assistant Edmond, OK NPI 1700424900
- Peter B. Stanbro, MD, M.P.HChild & Adolescent Psychiatry Physician Edmond, OK NPI 1659339224
- Pooja Bhakta, PA-CPhysician Assistant Edmond, OK NPI 1972083921
- Rachael Harmon, APRNPsychiatric/Mental Health Nurse Practitioner Edmond, OK NPI 1154211746
- Stephen Johnston, PAPhysician Assistant Edmond, OK NPI 1629337753
Other medical physician assistant providers in Edmond
- Treka B. Wenner, PAMedical Physician Assistant Edmond, OK NPI 1023182672
- Scott Nicholson, P.A.Medical Physician Assistant Edmond, OK NPI 1033562673
- Tanya M. Keck, PA-CMedical Physician Assistant Edmond, OK NPI 1063486280
- Shelby Jester, PA-CMedical Physician Assistant Edmond, OK NPI 1073004768
- Rosa J. RiosMedical Physician Assistant Edmond, OK NPI 1083072185
- Jama Shoemaker, PA-CMedical Physician Assistant Edmond, OK NPI 1093783805
- Hanna E. Padgett, PA-CMedical Physician Assistant Edmond, OK NPI 1164202842
- Sharon P. Bolton, PA-CMedical Physician Assistant Edmond, OK NPI 1174558738
About NPI 1588264402
Destiny L. Rose, PA-C's National Provider Identifier is 1588264402, issued on Oct 29, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Edmond, OK. The record was last updated on Jun 23, 2025.