Physician Assistant
DESTINY ETTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770257537 · enumerated 2021-08-05 · record updated 2025-02-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 405 S OKLAHOMA AVE, CHEROKEE, OK, 73728-2545 (580) 596-2800 Fax (580) 596-2805 Google Maps Apple Maps OpenStreetMap
- Mailing address 1111 W 17TH ST, TULSA, OK, 74107-1886 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary
In this directory
Locations and evidence
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Practice location
CHEROKEE, OK, 737282545
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.