NUVEEN, ERIK JON - Licensee Information

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

NUVEEN, ERIK JON

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:	2100 NORTHWEST 63RD ST. OKLAHOMA CITY OK 73116 Address last updated on 4/3/2024
Phone #:	(405) 842-6677
Fax #:	(405) 842-6687
County:	OKLAHOMA
License:	23411
Dated:	6/20/2003
Expires:	6/1/2025
License Type:	Medical Doctor
Specialty:	Cosmetic Surgery Plastic Surgery within the Head & Neck MAXILLOFACIAL SURGERY Plastic Surgery

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	CASE WESTERN RESERVE UNIV SCH OF MED, CLEVELAND OH 44106
Graduated:	5 / 2001
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 COSMETIC SURGERY - 9/00
New Patients:	Yes
Medicaid:	No
Medicare:	No

HMO/PPO:	None listed
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
2100 NORTHWEST 63RD ST. OKLAHOMA CITY OK 73116 Phone #: (405) 842-6677 Fax #: (405) 842-6687	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:
Integris Marshall County Medical Center #1 Hospital Dr. Madill, OK 73466 Phone #: (580) 795-3384 Fax #: (3) 200-	Mon: 8:00AM - 5:00PM Dept. of Cosmetic Surgery Tue: Wed: Thu: Fri: Sat: Sun:
Southwestern Medical Center 5604 S.W. Lee Blvd. Suite 210 Lawton, OK 73505 Phone #: (580) 531-6465 Fax #: (12) 200-	Mon: 8:00AM - 5:00PM Dept. of Cosmetic Surgery Tue: 8:00AM - 5:00PM Dept. of Cosmetic Surgery Wed: 8:00AM - 5:00PM Dept. of Cosmetic Surgery Thu: 8:00AM - 5:00PM Dept. of Cosmetic Surgery Fri: 8:00AM - 5:00PM Dept. of Cosmetic Surgery Sat: Sun:
Seminole Medical Center 2400 Wrangler Blvd. Seminole, OK 74868 Phone #: (405) 303-4183 Fax #: (9) 200-	Mon: Tue: 8:00AM - 5:00PM Monthly Wed: Thu: Fri: Sat: Sun:
Mercy Health Center 1011 14 Ave. NW Ardmore, OK 73401 Phone #: (580) 223-5400 Fax #: (8) 200-	Mon: 8:00AM - 5:00PM Monthly Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
SARA KELLY	APRN	881

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