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NPI Code Detail

MEDICARE: MS. JAEMIE ANN ARMIGER PA

MEDICARE: MS. JAEMIE ANN ARMIGER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant842OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174596100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAEMIE ANN ARMIGER PA
Provider Business Mailing Address
First Line : 700 W JUNEAU ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-0767
Country : US
Telephone Number : 918-813-1351
Fax Number :
Provider Business Practice Location Address
First Line : 4103 S YALE AVE STE C
Second Line :
City : TULSA
State : OK
Zip : 74135-6002
Country : US
Telephone Number : 918-495-4110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 10/18/2023

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Directions to “ MS. JAEMIE ANN ARMIGER PA” Practice Location

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