person
Autumn Renae Ackerman, PA
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1780635748

Autumn Renae Ackerman is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. Autumn Renae Ackerman practices in Tulsa, OK and has the professional credentials of PA. The NPI Number for Autumn Renae Ackerman is 1780635748 and holds a License No. 1529 (Oklahoma).

The current practice location address for Autumn Renae Ackerman is 5656 S 129Th East Ave, Tulsa, OK and can be reached out via phone at 918-357-7378 and via fax at 918-357-7377.

Location: 5656 S 129Th East Ave, Tulsa, OK, 74134-6715
person
Provider Profile Details
NPI Number
1780635748
Provider Name
Autumn Renae Ackerman
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5656 S 129Th East Ave, Tulsa, OK, 74134-6715
Phone Number
918-357-7378
Fax Number
918-357-7377
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5656 S 129Th East Ave
City
State
Zip
74134-6715
Phone Number
918-357-7378
Fax Number
918-357-7377
person
Provider Business Mailing Address Details
Address
5656 S 129Th East Ave
City
State
Zip
74134-6715
Phone Number
918-357-7378
Fax Number
918-357-7377
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1529 (Oklahoma)
Definition
Definition to come...
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