BRANNAN, MARCIA 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

BRANNAN, MARCIA 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:	CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER BVD ADA OK 74820 Address last updated on 4/3/2024
Phone #:	(580) 436-3980
Fax #:
County:	PONTOTOC
License:	1468
Dated:	7/21/2005
Expires:	3/31/2025
Temp. Ltr. Issued:	7/14/2005
Temp. Ltr. Expires:	11/5/2005
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:
CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER BVD ADA OK 74820 Phone #: (580) 436-3980 Fax #:

Hospital Privileges:

Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK

Name:	Type:	License Number:
Primary Supervisor(s):
Tammy K. Jarvis	DO	3915
Olivia Danielle Reed	DO	6044
Kristen L Warnock	DO	5287
CONNIE WILSON	DO	3394

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