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Oklahoma Board of Medical Licensure and Supervision

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

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EVANS, ASHLEY NOEL       
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: PORTER HEALTH CENTER
505 S. MAIN ST
PORTER OK 74454

Address last updated on 5/20/2024
Phone #: (918) 483-0111
Fax #:
County: WAGONER
License: 24029
Dated: 7/15/2005
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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: 5 / 2004
CME Year: 2026
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: None listed
Locations: Hours: Languages:
PORTER HEALTH CENTER
505 S. MAIN ST
PORTER OK 74454

Phone #: (918) 483-0111
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HANNAH LEA APPLE PA 3163
CAITLIN MUMFORD ASHLEY PA 2505
CALEB MICHAEL BARKER PA 4726
SHELLY CARLTON APRN 82527
STEPHANIE JANE GARRETT PA 2481
HOLLY WILKINSON APRN 86262

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