TERRY, BLAIR NICOLE - Licensee Information

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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

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

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