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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SAMARA JA'NEL JACK, PA-C

Active

MRS. SAMARA JA'NEL JACK, PA-C is a Physician Assistant healthcare provider located in TULSA, Oklahoma. NPI 1245550433 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TULSA, OK

Registration Details

NPI Number
1245550433
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2010 (16.17508720841 yrs)
Last Updated
Feb 28, 2019
License
1919 (OK)

Practice Information

Address
7858 S OLYMPIA AVE
TULSA, OK, 741321857
Browse OK providers · Browse ZIP 74132
Phone
9189869200
Fax
9189869205
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TULSA, OK

Name Credential NPI
MR. TERRY J ARNOLD PA-C 1780681684
KARA B STARKMAN-PLASTER PA 1861493546
L MICHELLE ROBERTSON PA 1912908500
MELISSA A ROHRER PA C 1790787356
MELODY J YOZZO PA C 1164414132
BRETT J BENNETT MA-PAC 1518955483
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.