Jackson Rodgers, PHYSICIANASSISTANT
Jackson Rodgers, PHYSICIANASSISTANT is a Physician Assistant in Oklahoma City, Oklahoma. Practices as a sole proprietor and works from 2 locations. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
1000 N Lee AveOklahoma City, OK 73102-1036
Phone: (405) 272-7000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5a Whispering Pines Ct, Macon, IL 62544-7218 — (636) 866-8958
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4644 (OK) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1760005664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2020 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 9, 2022 |
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