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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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ROCKWELL, MICHELLE       
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: 303 E A ST #1130
JENKS OK 74037

Address last updated on 7/16/2024
Phone #:
Fax #:
County: TULSA
License: 35112
Dated: 8/27/2019
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: General Practice
Sports Medicine (Family Practice)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 5 / 2011
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
AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
303 E A ST #1130
JENKS OK 74037

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICOLE BALDWIN APRN 8037
SARAH DVORAK APRN 83426
STEPHANIE KOWATCH APRN 12198
CHINYERE OCHIOBI APRN 1008
SUSAN PATINO APRN 17476
JOSLIN RUIZ APRN 1739

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