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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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HUDSON, JACQUELINE COLEEN       
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: EDMOND URGENT CARE
1101 NW 178TH STREET
SUITE B
EDMOND OK 73013

Address last updated on 5/30/2024
Phone #: (405) 282-2161
Fax #:
County: OKLAHOMA
License: 2145
Dated: 7/24/2012
Expires: 3/31/2025
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:
EDMOND URGENT CARE
1101 NW 178TH STREET
SUITE B
EDMOND OK 73013

Phone #: (405) 282-2161
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN HARRISON DO 3914
GEOFFREY WAYNE HOOVER MD 21239
MARK GREGORY LIPE MD 16509
LARRY LOVELACE DO 2438

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