MEDICARE: JAMI SANDERS PA-C

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
1	363A00000X	Physician Assistant	1072	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1699869404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMI SANDERS PA-C

Provider Business Mailing Address
First Line	:	807 N MONTE VISTA ST
Second Line	:	WOMEN'S HEALTH CENTER
City	:	ADA
State	:	OK
Zip	:	74820-7711
Country	:	US
Telephone Number	:	580-332-8855
Fax Number	:	580-332-7374

Provider Business Practice Location Address
First Line	:	807 N MONTE VISTA ST
Second Line	:	WOMEN'S HEALTH CENTER
City	:	ADA
State	:	OK
Zip	:	74820-7711
Country	:	US
Telephone Number	:	580-332-8855
Fax Number	:	580-332-7374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/08/2024

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Directions to “ JAMI SANDERS PA-C” Practice Location

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