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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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HART, VANESSA JO       
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 PRIMARY CARE
1919 E. MEMORIAL
OKLAHOMA CITY OK 73131

Address last updated on 4/8/2024
Phone #: (405) 341-7009
Fax #: (405) 330-1811
County: OKLAHOMA
License: 2814
Dated: 12/20/2017
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:
MERCY PRIMARY CARE
1919 E. MEMORIAL
OKLAHOMA CITY OK 73131

Phone #: (405) 341-7009
Fax #: (405) 330-1811

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MOHANAGEETHA ARDHANARI MD 34392
SHASHANK PRAKASH BEHERE MD 34535
RYAN DAVID BROWN MD 22346
MATTHEW DAVID CAMPBELL MD 28559
ANDREW TOM CAVE MD 34401
PATRICK MICHAEL GARRISON JR MD 23948
ANDREW KOHLMAIER GORMLEY MD 20757
EMILIE DAWN HENRY MD 22459
CHRISTOPHER LOREN JENKS MD 37659
ELIZABETH MAKIL MD 28675
ARSHID MIR MD 29734
EDWARD DAVID OVERHOLT MD 12884
COURTNEY DAWN RANALLO MD 29796
ANAS SALKINI MD 28238
ANJAN MAHENDRA SHAH MD 26462
CHARLES SALVATORE SPERRAZZA MD 25057
ASWATHY KUMAR VAIKOM HOUSE MD 33833
CHRISTINA KATHLEEN WALSH MD 33059
KENT EDWARD WARD MD 12940
JESSICA MARIA YOCUM MD 30782

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