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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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NOEL, DAPHNEE ANNABELLE       
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: ST JOHN MEDICAL CENTER
1923 SOUTH UTICA AVE
TULSA OK 74104

Address last updated on 12/2/2024
Phone #: (918) 744-2345
Fax #:
County: TULSA
License: 42505
Dated: 1/4/2024
Expires: 1/1/2026
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, Barbados (eff Spring 2019)
Graduated: 12 / 2017
CME Year: 2027
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:
ST JOHN MEDICAL CENTER
1923 SOUTH UTICA AVE
TULSA OK 74104

Phone #: (918) 744-2345
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BETHANY ANN BIGBY PA 2434
KIRA BRUCE APRN 7436
JORDAN WAYNE EIPP PA 4539
ELIZABETH FLORES APRN 92616
MINI GEORGE PA 1334
KIRAN GILL APRN 101757
ANDRE JAYLAN GOMEZ PA 4953
ELIZABETH HACKENBERGER APRN 18957
CARL DOUGLAS JACKSON PA 2616
VERONICA MANOILA APRN 117143
JENNIFER LYNN MARTIN PA 4761
MADISON DALE NEALON PA 3139
JOLENE RYCHTIK APRN 111468
GABRIELA ARELY SANDOVAL LOPEZ PA 4796

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