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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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SEWELL, SABRA JADE       
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: MEDWISE LLC
1095 N ASPEN AVE
BROKEN ARROW OK 74012

Address last updated on 3/21/2024
Phone #: (918) 994-3476
Fax #:
County: TULSA
License: 2617
Dated: 1/15/2016
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:
MEDWISE LLC
1095 N ASPEN AVE
BROKEN ARROW OK 74012

Phone #: (918) 994-3476
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH BADER DO 4738
BARRETT THOMAS BRADT MD 29420
Erin Broderick DO 6620
BOYD BURNS DO 4282
ERIC MICHAEL CANADAY DO 5535
MATTHEW CARMICHAEL DO 6118
JULIE CURRY DO 4398
EDWIN M HINTON DO 6307
DAMIEN MARCELL JACKSON MD 34931
ERIC JOSEPH LEE MD 33417
Regina M. Lewis DO 4093
JOHN LEE PERONA JR MD 25873
NATHAN G REUSSER DO 4266
TIMOTHY TOOLE MD 31293

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