STEVENS, AMANDA MARIE - Licensee Information

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

STEVENS, AMANDA MARIE

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:	JCMH ORTHOPEDIC CLINIC 304 S PARK LANE ALTUS OK 73521 Address last updated on 2/11/2024
Phone #:	(580) 379-6500
Fax #:
County:	JACKSON
License:	2651
Dated:	7/28/2016
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:
JCMH ORTHOPEDIC CLINIC 304 S PARK LANE ALTUS OK 73521 Phone #: (580) 379-6500 Fax #:

Hospital Privileges:

Jackson County Memorial Hospital
Altus, OK

Name:	Type:	License Number:
Primary Supervisor(s):
JEFFREY A. DUNCAN	DO	4729
GREGORY D PICKETT	DO	4548

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