LEWIS, JAYCI RAE - Licensee Information

Search Results

Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

LEWIS, JAYCI RAE

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 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 Address last updated on 3/7/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	3054
Dated:	6/3/2019
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 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 Phone #: Fax #:

Hospital Privileges:

INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
Mercy Hospital OKC
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
JEREMY BEARDEN	DO	4053
Joshua Chang	DO	6630
ANDREW EATON	DO	5372
BRANDY NICOLE MONTES	MD	30832
JAMES ROBERT PETERSEN	DO	5698
MICHAEL LANCE WATSON	MD	26920

Return to Search Licensees page