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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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JOLLY, VALERIE NICOLE       
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: MERCY SURGERY CLINIC
731 12TH AVE. NW
SUITE 100
ARDMORE OK 73401

Address last updated on 6/13/2024
Phone #: (580) 223-3216
Fax #: (580) 223-4184
County: CARTER
License: 24633
Dated: 7/1/2007
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2005
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital OKC
Oklahoma City, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
MERCY SURGERY CLINIC
731 12TH AVE. NW
SUITE 100
ARDMORE OK 73401

Phone #: (580) 223-3216
Fax #: (580) 223-4184
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANGELA ESSARY APRN 76378
ANGIE MARIE HIGNITE PA 1803
GWYNETH HOLDERBY APRN 96130
CHRISTINA HULSEY APRN 87976
JACK BRADLEY SMITH PA 1155
TAYLOR LANE WINZELER PA 2215
JACQUELINE YARBROUGH APRN 77656

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