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Next Update: Thursday, December 19, 2024 12:00 PM CST
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AMEN, JENNIFER JILL
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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.
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| Practice Address: |
315 75TH ST W
BRADENTON FL 34209
Address last updated on 2/14/2018 |
| Phone #: |
(941) 761-1616 |
| Fax #: |
(877) 501-8537 |
| County: |
NOT OKLAHOMA |
| License: |
23528 |
| Dated: |
11/9/2011 |
| Expires: |
11/1/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Washington Univ in St Louis Sch of Med, St Louis MO |
| Graduated: |
5 /
2003 |
| CME Year: |
2020 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF EMERGENCY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Ascension St. John - Owasso
Owasso, OK
Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
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| Locations: |
Hours: |
Languages: |
315 75TH ST W
BRADENTON FL 34209
Phone #:
(941) 761-1616
Fax #:
(877) 501-8537 |
Mon: 9:00AM - 5:00PM
Tue:
Wed: 9:00AM - 5:00PM
Thu:
Fri: 9:00AM - 5:00PM
Sat:
Sun: |
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