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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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MILLER, JAN ESTES       
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: ST ANTHONY FAMILY PRACTICE RES
1110 N LEE SUITE 300
OKLAHOMA CITY OK 73103

Address last updated on 5/6/2024
Phone #: (405) 231-3000
Fax #: (405) 231-3073
County: OKLAHOMA
License: 19851
Dated: 7/11/1996
Expires: 7/1/2025
Temp. Lic. Issued: 8/15/1995
Temp. Lic. Expires: 8/1/1996
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 5 / 1995
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
ST ANTHONY FAMILY PRACTICE RES
1110 N LEE SUITE 300
OKLAHOMA CITY OK 73103

Phone #: (405) 231-3000
Fax #: (405) 231-3073
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRANDY BYRD APRN 10249
TERESA SMITH APRN 20568
JENNIFER TESTERMAN APRN 4512

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