Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Renae Ackerman, PA

Individual provider Medical Physician Assistant · NPI 1780635748

Autumn Renae Ackerman, PA is a Medical Physician Assistant in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5656 S 129th East Ave Bldg C
Tulsa, OK 74134-6715
Phone: (918) 357-7378
Fax: (918) 357-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1529 (OK)

Record details

NPI number1780635748
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESSeptember 26, 2012

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