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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 6:44 PM CST
Next Update: Tuesday, December 24, 2024 2:50 AM CST

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WILSON, NICHOLAS HOWARD       
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: 14000 PARKWAY COMMONS DRIVE
OKLAHOMA CITY OK 73134

Address last updated on 8/22/2024
Phone #: (405) 463-3370
Fax #: (405) 463-3371
County: OKLAHOMA
License: 2936
Dated: 10/29/2018
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:
14000 PARKWAY COMMONS DRIVE
OKLAHOMA CITY OK 73134

Phone #: (405) 463-3370
Fax #: (405) 463-3371

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RODNEY MCCRORY DO 2750
KYLE VON MCGIVERN DO 5293
JAMES MICHAEL ODOR MD 16903
ANDREW BENJAMIN PARKINSON MD 26131

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