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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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MUSGROVE, JENNA LEE       
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: 6271 EAST 120TH CT.
SUITE 200
TULSA OK 74137

Address last updated on 2/10/2024
Phone #: (918) 932-2909
Fax #:
County: TULSA
License: 2124
Dated: 5/9/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 2/17/2012
Temp. Ltr. Expires: 5/18/2012
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:
6271 EAST 120TH CT.
SUITE 200
TULSA OK 74137

Phone #: (918) 932-2909
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES MATTHEW ROSS MD 21872

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