Active NPI
Jenna Lee Musgrove, PA-C
- Physician Assistant
- Jenks, OK
National Provider Identifier
1831462894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2124
- Practice address
- 715 W Main St Ste S
Jenks, OK 74037-3553 - Phone
- (918) 299-9447
- NPI assigned
- Feb 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2124 | OK | Primary |
Addresses
Primary practice location
715 W Main St Ste S
Jenks, OK 74037-3553
Mailing address
108 N Taylor Ave
Wynnewood, OK 73098-4625
Phone (405) 990-5309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2124 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1831462894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N TAYLOR AVE",
"city": "WYNNEWOOD",
"state": "OK",
"postal_code": "730984625",
"telephone_number": "405-990-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W MAIN ST STE S",
"city": "JENKS",
"state": "OK",
"postal_code": "740373553",
"telephone_number": "918-299-9447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSGROVE",
"first_name": "JENNA",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.