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

Search Results

Last Update: Thursday, December 26, 2024 3:50 AM CST
Next Update: Thursday, December 26, 2024 12:00 PM CST

Return to Search Licensees page

HENNESSEE, JOHN PAUL JR       
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: 3224 SW 119TH STREET
OKLAHOMA CITY OK 73170

Address last updated on 5/7/2024
Phone #: (405) 759-3880
Fax #: (405) 759-3882
County: CLEVELAND
License: 18494
Dated: 7/1/1993
Expires: 7/1/2025
Temp. Lic. Issued: 6/25/1992
Temp. Lic. Expires: 7/1/1993
License Type: Medical Doctor
Specialty: Psychiatry
Geriatric Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1992
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: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Duncan Regional Hospital
Duncan, OK
Hospital Not Listed
,
Locations: Hours: Languages:
3224 SW 119TH STREET
OKLAHOMA CITY OK 73170

Phone #: (405) 759-3880
Fax #: (405) 759-3882
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RAHIL KHALILI APRN 11093
ASHLEY MATHIAS APRN 105746
JENNIFER ROBERTS APRN 74768

Return to Search Licensees page