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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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JERSEY, COURTNEY NICOLE       
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 PRIMARY CARE
2301 W I-35 FRONTAGE ROAD
EDMOND OK 73013

Address last updated on 4/1/2024
Phone #: (405) 757-3365
Fax #:
County: OKLAHOMA
License: 4390
Dated: 8/28/2020
Expires: 3/31/2025
Temp. Ltr. Issued: 8/27/2020
Temp. Ltr. Expires: 9/10/2020
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 PRIMARY CARE
2301 W I-35 FRONTAGE ROAD
EDMOND OK 73013

Phone #: (405) 757-3365
Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MANZILAT YEYEDEHINBO AKANDE MD 33862
HELEN CHRISTINE ALLEN MD 21209
RAYA ALSHAWI MD 35496
ANDREW KOHLMAIER GORMLEY MD 20757
THERESA MARY GRAIF MD 34510
EMILIE DAWN HENRY MD 22459
AMY ELIZABETH LEE MD 32788
ELIZABETH PADDACK McCABE MD 30076
TEDDY MWIMI MUISYO MD 34296
ASHISH SINGH NAGPAL MD 32712
AMANDA LYNDSEY ASHBY PAGE MD 32280
COURTNEY DAWN RANALLO MD 29796
ANAS SALKINI MD 28238
CHRISTINA KATHLEEN WALSH MD 33059

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