BEAIRD, TAYLOR LAUREN - Licensee Information

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Last Update: Wednesday, December 25, 2024 6:43 PM CST
Next Update: Thursday, December 26, 2024 2:50 AM CST

BEAIRD, TAYLOR LAUREN

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:	MERCY CLINIC EDMOND WESTBROOK 1208 W 15TH ST EDMOND OK 73013 Address last updated on 3/8/2024
Phone #:	(405) 340-2100
Fax #:
County:	OKLAHOMA
License:	2691
Dated:	12/16/2016
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:
MERCY CLINIC EDMOND WESTBROOK 1208 W 15TH ST EDMOND OK 73013 Phone #: (405) 340-2100 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
James Minsu Jang	DO	5655
JERIMIAH CAPEN JOHNSON	MD	32698
SARAH KATHARINE PETTY	MD	30747

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