MUNCY, DEVON JESSICA - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

MUNCY, DEVON JESSICA

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:	FIVE OAKS FAMILY MEDICAL CLINIC 2100 W IOWA AVE ATTN: APRIL THOMPSON CHICKASHA OK 73018-2736 Address last updated on 3/25/2024
Phone #:	(405) 224-2100
Fax #:	(405) 224-2830
County:	GRADY
License:	1493
Dated:	1/26/2006
Expires:	3/31/2025
Temp. Ltr. Issued:	12/9/2005
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:
FIVE OAKS FAMILY MEDICAL CLINIC 2100 W IOWA AVE ATTN: APRIL THOMPSON CHICKASHA OK 73018-2736 Phone #: (405) 224-2100 Fax #: (405) 224-2830

Hospital Privileges:

Grady Memorial Hospital
Chickasha, OK

Name:	Type:	License Number:
Primary Supervisor(s):
KEVIN WAYNE ANDERSON	DO	4878
BRIDGET D BRYAN	DO	5036
MITCHELL DEAN COPPEDGE	MD	19462
ABBY M HOUSMAN	DO	5089
RYAN ROBERT KNAPP	MD	27324

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