SULLIVAN, APRIL DAWN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SULLIVAN, APRIL DAWN

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:	PRIMARY HEALTH PARTNERS - ARDMORE 1111 WALNUT DRIVE ARDMORE OK 73401 Address last updated on 3/29/2024
Phone #:	(580) 223-9008
Fax #:	(580) 223-5051
County:	CARTER
License:	3209
Dated:	6/16/2020
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:
PRIMARY HEALTH PARTNERS - ARDMORE 1111 WALNUT DRIVE ARDMORE OK 73401 Phone #: (580) 223-9008 Fax #: (580) 223-5051

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
LAUREN BROOKS SOUTHWARD	MD	21988

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