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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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NICKEL, JACQUELYN OLIVIA       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: NOURISH
3724 JEFFERSON ST.
STE 104
AUSTIN TX 78731

Address last updated on 10/2/2024
Phone #: (512) 639-7045
Fax #:
County: NOT OKLAHOMA
License: 2138
Dated: 2/19/2016
Expires: 10/31/2025
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
NOURISH
3724 JEFFERSON ST.
STE 104
AUSTIN TX 78731

Phone #: (512) 639-7045
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSHUA LYNN NOONER PD 730

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