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Individual

JORDAN LAYNE HAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
19301 N PENNSYLVANIA AVE, EDMOND, OK 73012-4641
(405) 601-6450
(405) 601-6465
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 601-6450
(405) 601-6465

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5459
OK
363A00000X
Physician Assistant
Primary
5459
OK
363A00000X
Physician Assistant

Other

Enumeration date
08/16/2022
Last updated
04/17/2026
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