AUSTIN, STEPHANIE NICHOLE - 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

AUSTIN, STEPHANIE NICHOLE

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:	CROSSINGS COMMUNITY CLINIC 10255 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73120 Address last updated on 4/2/2024
Phone #:	(405) 749-0800
Fax #:
County:	OKLAHOMA
License:	1488
Dated:	4/1/2006
Expires:	3/31/2025
Temp. Ltr. Issued:	1/26/2006
Temp. Ltr. Expires:	5/13/2006
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:
CROSSINGS COMMUNITY CLINIC 10255 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73120 Phone #: (405) 749-0800 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
SHELEATHA MICHELLE TAYLOR-BRISTOW	MD	27765

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