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Nick Jansen, PA-C — NPI 1306193727, Rota, MP | NPI Central

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NPI 1306193727

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Nick Jansen, PA-C

NPI 1306193727 · Medical Physician Assistant · Rota, MP

Provider details

NPI number: 1306193727
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No
License: 2161 (OK)

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense 2161 (OK)
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

Songsong Village

Rota, MP 96951-1249

Phone: (670) 532-9461

Fax: (670) 532-0698

More MP providers

Mailing address

Po Box 1249

Rota, MP 96951-1249

Additional practice locations (1)

31870 E State Highway 51
Coweta, OK 74429-7900
Phone: (918) 279-3200
Fax: (918) 279-1101

Registry dates

Enumerated: 2012-08-06
Last updated: 2025-10-23
Certified: 2025-10-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.