Individual
JACOB RYAN BATTERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8803 S 101ST EAST AVE STE 300, TULSA, OK 74133-5732
(918) 574-0220
(918) 547-0229
Mailing address
9805 N 102ND EAST AVE, OWASSO, OK 74055-6686
(918) 852-6349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
04/23/2026
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