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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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YINGLING, JILLIAN ROSE       
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: OU HEALTH
825 NE 10TH STREET STE C
OKLAHOMA CITY OK 73104

Address last updated on 11/19/2024
Phone #: (405) 271-2663
Fax #:
County: OKLAHOMA
License: 4615
Dated: 7/14/2021
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:
OU HEALTH
825 NE 10TH STREET STE C
OKLAHOMA CITY OK 73104

Phone #: (405) 271-2663
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRIAN ALAN CHENOWETH MD 29364
WILLIAM JOHN JOSEPH ERTL MD 23069
BRANDON REECE HULL MD 35707
MICHAEL BRANDON JOHNSON MD 26521
YURI CHUN LANSINGER MD 29876
THOMAS P. LEHMAN MD 20240
TIMOTHY ANDREW PUCKETT MD 18047
DOUGLAS JAY ROWLES MD 30905
SANTARAM VALLURUPALLI MD 30833
JEREMY RUSSELL WHITE MD 26943
JOHN YINGLING DO 7244

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