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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GAMBLIN, JENNIFER JUANITA       
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: OU CHILDREN'S PHYSICIANS
1200 CHILDREN'S AVENUE SUITE 9E
OKLAHOMA CITY OK 73104

Address last updated on 3/11/2024
Phone #: (405) 271-6549
Fax #: (405) 271-7866
County: OKLAHOMA
License: 2220
Dated: 1/14/2013
Expires: 3/31/2025
Temp. Ltr. Issued: 1/4/2013
Temp. Ltr. Expires: 4/1/2013
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:
OU CHILDREN'S PHYSICIANS
1200 CHILDREN'S AVENUE SUITE 9E
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6549
Fax #: (405) 271-7866

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SIRISH KUMAR PALLE MD 32033

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