Individual
WHITNEY T MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1354 E 15TH ST, EDMOND, OK 73013-5029
(405) 285-8823
(405) 285-8824
Mailing address
1354 E 15TH ST, EDMOND, OK 73013-5029
(405) 285-8823
(405) 285-8824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2231
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2231
STATE LICENSE
OK
Enumeration date
01/21/2013
Last updated
11/18/2025
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