person
Jackie J Parnell, PA
Medical Physician Assistant in Coweta, Oklahoma
NPI 1639169337

Jackie J Parnell is a Medical Physician Assistant based in Tahlequah, OK and is specialized in Medical. Jackie J Parnell practices in Coweta, OK and has the professional credentials of PA. The NPI Number for Jackie J Parnell is 1639169337 and holds a License No. 552 (Oklahoma).

The current practice location address for Jackie J Parnell is 607 S Broadway, Coweta, OK and can be reached out via phone at 918-486-5564 and via fax at 918-486-3284.

Location: 607 S Broadway, Coweta, OK, 74464-1118
person
Provider Profile Details
NPI Number
1639169337
Provider Name
Jackie J Parnell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
607 S Broadway, Coweta, OK, 74464-1118
Phone Number
918-486-5564
Fax Number
918-486-3284
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100209620B 05 OK
institution
Provider Business Practice Location Address Details
Address
607 S Broadway
City
State
Zip
74429-5000
Phone Number
918-486-5564
Fax Number
918-486-3284
person
Provider Business Mailing Address Details
Address
607 S Broadway
City
State
Zip
74429-5000
Phone Number
918-486-5564
Fax Number
918-486-3284
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
552 (Oklahoma)
Definition
Definition to come...
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