FETTERS, NICOLE LYNN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

FETTERS, NICOLE LYNN

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:	ACCESS MEDICAL CENTER/NEXTCARE URGENT CARE 334 12TH AVE SE NORMAN OK 73071 Address last updated on 10/21/2024
Phone #:	(405) 321-3568
Fax #:
County:	CLEVELAND
License:	1102
Dated:	4/1/2001
Expires:	3/31/2025
Temp. Ltr. Issued:	12/29/2000
Temp. Ltr. Expires:	3/31/2001
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
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.

Locations:	Hours:	Languages:
ACCESS MEDICAL CENTER/NEXTCARE URGENT CARE 334 12TH AVE SE NORMAN OK 73071 Phone #: (405) 321-3568 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
Peter Studebaker	DO	6827

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