Individual
JESSICA M ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
608 NW 9TH ST STE 5010, OKLAHOMA CITY, OK 73102-1058
(405) 979-7875
(405) 979-7880
Mailing address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3011
(405) 979-7880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
2934
OK
Other
Enumeration date
06/15/2010
Last updated
04/13/2023
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