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Last Update: Sunday, December 22, 2024 1:13 PM CST
Next Update: Sunday, December 22, 2024 4:30 PM CST

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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

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
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

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