Individual
MRS. JESSICA JANAE PLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2823
OK
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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