MR. Jamie Shane Massengill, PA-C is a medical physician assistant in Edmond, OK with 21 years of experience. MR. Jamie Shane Massengill, PA-C NPI is 1952404238. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7555 WINTERWOOD DR
EDMOND, OK
ZIP 73025-861
Phone: (405) 990-5967
The NPI 1952404238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/5/2006 and was last updated on 2/9/2020.