IndividualActive
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
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
Songsong Village
Rota, MP 96951-1249
Phone: (670) 532-9461
Fax: (670) 532-0698
Mailing address
Po Box 1249
Rota, MP 96951-1249
Additional practice locations (1)
- 31870 E State Highway 51Coweta, OK 74429-7900Phone: (918) 279-3200Fax: (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.