MILLS, KIA JOLENE - 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

MILLS, KIA JOLENE

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:	SSM HEALTH EXPRESS VIRTUAL CARE 2749 PROGRESSIVE DR EDMOND OK 73034-7649 Address last updated on 2/11/2024
Phone #:	(314) 989-6807
Fax #:
County:	OKLAHOMA
License:	4737
Dated:	4/1/2022
Expires:	3/31/2025
Temp. Ltr. Issued:	1/28/2022
Temp. Ltr. Expires:	3/10/2022
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:
SSM HEALTH EXPRESS VIRTUAL CARE 2749 PROGRESSIVE DR EDMOND OK 73034-7649 Phone #: (314) 989-6807 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
SYDNEY EVA-MARIE HAGGINS	MD	29389
CHEYN DAMON ONARECKER	MD	17826

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