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

AUTUMN RENAE ACKERMAN, PA

Active

AUTUMN RENAE ACKERMAN, PA is a Medical Physician Assistant healthcare provider located in TULSA, Oklahoma. NPI 1780635748 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · TULSA, OK

Registration Details

NPI Number
1780635748
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2006 (20.211896564631 yrs)
Last Updated
Sep 26, 2012
License
1529 (OK)

Practice Information

Address
5656 S 129TH EAST AVE
BUILDING C
TULSA, OK, 741346715
Browse OK providers · Browse ZIP 74134
Phone
9183577378
Fax
9183577377
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in TULSA, OK

Name Credential NPI
MRS. LESLIE ANNE TAYLOR PA-C 1902801731
MRS. GINA RENEA SMITH PA-C 1942206750
MARY A MCCAMPBELL PA-C 1336145010
THOMAS JOSEPH BOXBERGER PA-C 1922099118
JEFFERSON TODD BURSON PA-C 1215928411
MR. MAX BRIAN SWENSON JR. PA-C 1033100268
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.