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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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COLLINS, JESSICA DAWN       
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: ST ANTHONY HOSPITAL
1000 N LEE
OKLAHOMA CITY OK 73102

Address last updated on 6/12/2024
Phone #: (405) 272-6406
Fax #:
County: OKLAHOMA
License: 1797
Dated: 2/5/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 12/30/2008
Temp. Ltr. Expires: 4/3/2009
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:
ST ANTHONY HOSPITAL
1000 N LEE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-6406
Fax #:

Hospital Privileges:

Mercy Health Love County
Marietta, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JODILYN NICOLAS CAGUIOA-AQUINO MD 26382
TENEY VARUGHESE JOHN MD 27754
TERRY GENE JONES MD 16370
RAYMOND REEVES MOBLEY II MD 31635
Robert Treadwell DO 6913

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