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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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TERRY, BLAIR NICOLE       
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: INTEGRIS HEALTH MEDICAL GROUP HAND SURGERY
5401 N PORTLAND AVE, STE 600
OKLAHOMA CITY OK 73112-2090

Address last updated on 6/19/2024
Phone #: (405) 604-8485
Fax #:
County: OKLAHOMA
License: 2922
Dated: 6/21/2018
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:
INTEGRIS HEALTH MEDICAL GROUP HAND SURGERY
5401 N PORTLAND AVE, STE 600
OKLAHOMA CITY OK 73112-2090

Phone #: (405) 604-8485
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RACHEL EVON HEIN MD 39589
JAMES JASON JACKSON MD 27258
JAMES CALVIN JOHNSON MD 15302
GERARDO MORALES MYRIN MD 33739

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