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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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GILPEN, JOHNNIE JR       
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: OKLAHOMA CHILDREN'S HOSPITAL
1200 CHILDREN'S AVE
OKLAHOMA CITY OK 73104

Address last updated on 3/6/2024
Phone #: (405) 271-4876
Fax #:
County: OKLAHOMA
License: 3116
Dated: 11/14/2019
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:
OKLAHOMA CHILDREN'S HOSPITAL
1200 CHILDREN'S AVE
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4876
Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AMANDA LYNN BOGIE MD 19475
RYAN DAVID BROWN MD 22346
NICHOLAS JAMES-HARVEY CONSTANT MD 32351
BRINDHA GOPALA KRISHNAN MD 34696
RANDALL EDWARD HERRIN MD 24698
KARYN KOLLER MD 31103
GREGORY HUNT MCKINNIS MD 19047
GISELLE ZAGARI STUPPIELLO MD 34613

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