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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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JOHNSON, JERIMIAH CAPEN       
Practice Address: 1208 15TH ST
EDMOND OK 73013

Address last updated on 12/27/2023
Phone #: (405) 340-2100
Fax #: (405) 340-1184
County: OKLAHOMA
License: 32698
Dated: 1/24/2017
Expires: 1/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 11 / 2013
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1208 15TH ST
EDMOND OK 73013

Phone #: (405) 340-2100
Fax #: (405) 340-1184
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 12:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAYLOR LAUREN BEAIRD PA 2691
LISA SPENCE APRN 87875
LYNSEY RENE STONEKING PA 4879

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