Individual provider · Type 1 NPI

Marcia Jean Ricketson, P.A.C.

Physician Assistant · Moore, OK

NPI number 1720010416 Active

Practice location

216 NE 12th St
Moore, OK 73160-5830

Fax (866) 371-6223

Mailing address

2829 Chaucer Dr
Oklahoma City, OK 73120-2804

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X710 (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 1720010416

Marcia Jean Ricketson, P.A.C.'s National Provider Identifier is 1720010416, issued on Jul 6, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moore, OK. The record was last updated on Jun 17, 2009.