Individual
JENNIFER REBECCA DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9800 BROADWAY EXT STE 201, OKLAHOMA CITY, OK 73114-6304
(405) 424-5426
(405) 424-5431
Mailing address
105 S BRYANT AVE STE 105, EDMOND, OK 73034-6330
(405) 359-5403
(405) 359-5112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011830A
—
OK
Enumeration date
07/12/2005
Last updated
02/24/2026
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