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

Shannon Michelle Jacoby, PA-C

Individual provider Physician Assistant · NPI 1790081727

Shannon Michelle Jacoby, PA-C is a Physician Assistant in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6151 S Yale Ave Ste 1305
Tulsa, OK 74136-1907
Phone: (918) 494-9450
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1998 (OK)

Record details

NPI number1790081727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2011
Last updated in NPPESNovember 30, 2011

Other providers in Tulsa