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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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TAYLOR-BRISTOW, SHELEATHA MICHELLE       
Practice Address: CROSSINGS COMMUNITY CLINIC
OKLAHOMA CITY OK 73120

Address last updated on 6/15/2024
Phone #: (405) 749-0800
Fax #:
County: OKLAHOMA
License: 27765
Dated: 8/10/2011
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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 / 2010
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:
CROSSINGS COMMUNITY CLINIC
OKLAHOMA CITY OK 73120

Phone #: (405) 749-0800
Fax #:
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5905 Classen Ct
#201
Oklahoma City, OK 73118

Phone #: (405) 713-6400
Fax #: (12) 201-
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Crossings Community Clinic
10255 N. Pennsylvania
Oklahoma, OK 73013

Phone #: (405) 749-0800 x5551
Fax #: (9) 201-
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Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICHOLE ABRAHAM PA 5045
STEPHANIE NICHOLE AUSTIN PA 1488
GLORIA AYISI APRN 77766
PHIL JOSEPH BURKE PA 1959
TERRIE JO HANSON PA 1497
GRACE JOHNSON APRN 85481

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