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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST
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JACK, SAMARA JA'NEL
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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.
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| Practice Address: |
1919 S WHEELING AVE
SUITE 606
TULSA OK 74104
Address last updated on 10/30/2024 |
| Phone #: |
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| Fax #: |
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| County: |
TULSA |
| License: |
1919 |
| Dated: |
7/22/2010 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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5/28/2010 |
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Temp.
Ltr.
Expires:
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7/22/2010 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
Ascension St. John - Owasso
Owasso, OK
Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
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