Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

GILLISPIE, JENNIFER LELA       
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: BANISTER NUTRITION LLC
10914 HEFNER POINTE DRIVE
SUITE 304
OKLAHOMA CITY OK 73120

Address last updated on 9/20/2024
Phone #: (405) 755-7561 x107
Fax #: (405) 755-7615
County: OKLAHOMA
License: 2442
Dated: 9/30/2019
Expires: 10/31/2025
Temp. Ltr. Issued: 7/10/2019
Temp. Ltr. Expires: 11/7/2019
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:
BANISTER NUTRITION LLC
10914 HEFNER POINTE DRIVE
SUITE 304
OKLAHOMA CITY OK 73120

Phone #: (405) 755-7561 x107
Fax #: (405) 755-7615

Return to Search Licensees page