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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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WINN, BERRY ELLIS       
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: 1400 EAST DOWNING
TAHLEQUAH OK 74464--020

Address last updated on 5/10/2024
Phone #: (918) 557-5260
Fax #: (918) 456-8886
County: CHEROKEE
License: 17298
Dated: 7/1/1990
Expires: 7/1/2025
Training Issued: 6/22/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1989
CME Year: 2027
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
Northeastern Health System Sequoyah (fmly Sequoyah Mem Hosp)
Sallisaw, OK
Locations: Hours: Languages:
1400 EAST DOWNING
TAHLEQUAH OK 74464--020

Phone #: (918) 557-5260
Fax #: (918) 456-8886
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHERYL ANGEL APRN 62720
CHARLOTTE BARRETT APRN 1590
RONDA LYNN CHERRY PA 1278
TANDALEO GAMBLE APRN 75294
SHAWN HALL APRN 105693
DENA LAMONS APRN 103086
STEPHANIE MCQUARTERS APRN 72210
ANDREA MORROW APRN 126546
JIMMY OGDEN APRN 102076
REBEL SMITH APRN 72185

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