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

Destiny L Rose, PA-C

Individual provider Medical Physician Assistant · NPI 1588264402

Destiny L Rose, PA-C is a Medical Physician Assistant in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2000 E 15th St Ste 400A
Edmond, OK 73013-6673
Phone: (405) 692-1557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4412 (OK)

Record details

NPI number1588264402
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 29, 2020
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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