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

Mrs. Samara Ja'Nel Jack, PA-C

Individual provider Physician Assistant · NPI 1245550433

Mrs. Samara Ja'Nel Jack, PA-C is a Physician Assistant in Tulsa, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2010
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

7858 S Olympia Ave
Tulsa, OK 74132-1857
Phone: (918) 986-9200
Fax: (918) 986-9205
Show map & directions

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

Additional practice locations (1)

  • 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 — (918) 748-7585

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1919 (OK)

Record details

NPI number1245550433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2010
Last updated in NPPESFebruary 28, 2019

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