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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BENTON, JAMI LUANN       
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: FAITH FAMILY CLINIC
5202 W. OWEN K GARRIOTT ROAD SUITE B
ENID OK 73703

Address last updated on 10/28/2024
Phone #: (580) 616-3007
Fax #: (580) 324-8008
County: GARFIELD
License: 24348
Dated: 4/1/2007
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 12 / 2004
CME Year: 2025
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FAITH FAMILY CLINIC
5202 W. OWEN K GARRIOTT ROAD SUITE B
ENID OK 73703

Phone #: (580) 616-3007
Fax #: (580) 324-8008
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELSIE BLANTON APRN 106561
NANCY COOPER APRN 45211
SHANNON DUNN APRN 5305
STEPHANIE LEWIS APRN 7250

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