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

Sasa K Jackson, PA-C

Individual provider Physician Assistant · NPI 1447521539

Sasa K Jackson, PA-C is a Physician Assistant in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
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

1400 SE 4th St Ste H
Moore, OK 73160-7329
Phone: (405) 799-7400
Fax: (405) 799-7405
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2107 (OK)

Record details

NPI number1447521539
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2012
Last updated in NPPESJanuary 20, 2012

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