IndividualActive
Jonathan White, P.A.-C
NPI 1730529371 · Physician Assistant · Jay, OK
Provider details
- NPI number
- 1730529371
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2267 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1015 W Washbourne St
Jay, OK 74346-4205
Phone: (918) 253-1700
Approximate (ZIP-level) locationGet directions
Mailing address
3202 W Pittsburg St
Broken Arrow, OK 74012-9011
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2013-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.