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JACKSON, NICOLE DEXTER
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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.
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Practice Address: |
6202 E 61ST ST
TULSA OK 74136
Address last updated on 9/1/2024 |
Phone #: |
(918) 494-8830 |
Fax #: |
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County: |
TULSA |
License: |
614 |
Dated: |
11/2/2000 |
Expires: |
10/31/2025 |
License Type: |
Occupational Therapy Assistant |
Specialty: |
Activities of Daily Living (OT/OA only)
Cardiac Dysfunction (OT/OA only)
Fractures/General Orthopedic Treatment (OT/OA only
School Based Practice (OT/OA only) |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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