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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

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GRAYSON, NANCY ELLEN       
Practice Address: 25353 E 840 RD
KINGFISHER OK 73750

Address last updated on 1/5/2024
Phone #: (918) 808-3306
Fax #: (888) 504-7682
County: OKLAHOMA
License: 17590
Dated: 2/28/1991
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Addiction Psychiatry
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 / 1985
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/4/2010 Probation Ended
3/13/2008 Probation
9/20/2007 Suspension, License
8/13/2007 Complaint Citation
Board Filings and/or Orders:
11/04/2010
03/13/2008
09/20/2007
09/20/2007
08/10/2007
08/10/2007
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
25353 E 840 RD
KINGFISHER OK 73750

Phone #: (918) 808-3306
Fax #: (888) 504-7682
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CANDICE RAE BREEDEN PA 1512
ROBIN POTTER-KIMBALL APRN 46325

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