Individual provider · Type 1 NPI

Jared Samuel Yeahquo, PA-C

Medical Physician Assistant · Ada, OK

NPI number 1972364172 Active

Practice location

1921 Stonecipher Blvd
Ada, OK 74820-3439

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	None listed

Medical Physician Assistant: Definition to come...

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About NPI 1972364172

Jared Samuel Yeahquo, PA-C's National Provider Identifier is 1972364172, issued on Jan 16, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ada, OK. The record was last updated on Oct 30, 2025.