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Search › Oklahoma › 363A00000X

Jetta Ange, PA-C

NPI 1336686492 · on the registry since 2017

Practice

Address
702 Nw Sheridan Rd
Lawton, OK 73505
Phone
(580) 576-3376
Fax
(580) 576-3375
Organisation at this address
Carter Dermatology Llc
Carter Dermatology Llc
Carter Dermatology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma