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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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HIXON, NANCY-KA ELIZABETH       
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: OKLAHOMA CITY INDIAN CLINIC
309 S ANN ARBOR
OKLAHOMA CITY OK 73128

Address last updated on 4/10/2024
Phone #: (405) 948-4900
Fax #: (405) 948-4933
County: OKLAHOMA
License: 2840
Dated: 1/11/2018
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:
OKLAHOMA CITY INDIAN CLINIC
309 S ANN ARBOR
OKLAHOMA CITY OK 73128

Phone #: (405) 948-4900
Fax #: (405) 948-4933

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
WILLIAM STANLEY BEVERS MD 16120
KRISTEN DENAE JORDAN MD 28482
LAURA L KILKENNY DO 3584
Patrick P. Lo DO 2288
MUDASSIR NAWAZ MD 24893

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