Doretta Jenison, PA-C

NPI #1962047183 in Choctaw, Oklahoma

Provider Information

NPI Number: 1962047183
Entity Type: Individual
Name: Doretta Jenison, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 12, 2019
Last Updated: Nov 12, 2019

Practice Location

Address: 830 OAK HILL RD
City: Choctaw
State: Oklahoma
ZIP Code: 73020-7510
Phone: (619) 886-0898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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