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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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BROWN, JACOB C.       
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: OUMC ED
700 NE 13TH
OKLAHOMA CITY OK 73104

Address last updated on 3/19/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 2738
Dated: 4/3/2017
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:
OUMC ED
700 NE 13TH
OKLAHOMA CITY OK 73104

Phone #:
Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRANDON STEPHEN BROWN MD 27722
HAROLD NATHANIAL CLAVER DO 4746
ANDREW EATON DO 5372
RICHARD RAYMOND HARTMAN MD 19847
JESSE RAY HILL MD 26139
KARYN KOLLER MD 31103
BENJAMIN DAVID LYNCH MD 29897

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