Jackie J Parnell, PA

NPI #1639169337 in Coweta, Oklahoma

Provider Information

NPI Number
1639169337
Entity Type
Individual
Name
Jackie J Parnell, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Oct 24, 2005
Last Updated
Sep 19, 2012

Practice Location

Address
607 S BROADWAY
City
Coweta
ZIP Code
74429-5000
Phone
(918) 486-5564

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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