Individual
JENNIFER LYNN STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
717 S HOUSTON AVE STE 304, TULSA, OK 74127-9023
(918) 382-5064
(918) 382-3589
Mailing address
2401 SOUTHWEST BLVD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1882
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200278530A
—
OK
Enumeration date
01/05/2010
Last updated
01/23/2020
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