Susana Jimenez, PHYSICIAN ASSISTANT Valid NPI

Individual provider · Physician Assistant · Edmond, OK

NPI

1558136549

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5123 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2023-11-20

Last updated

2026-04-23