MORRISON, STACEY LYNN - 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

MORRISON, STACEY LYNN

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:	JENKS FAMILY PHYSICIANS 615 E. MAIN ST JENKS OK 74037-4138 Address last updated on 3/31/2024
Phone #:	(918) 299-8080
Fax #:	(918) 298-2838
County:	TULSA
License:	560
Dated:	9/1/1990
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:
JENKS FAMILY PHYSICIANS 615 E. MAIN ST JENKS OK 74037-4138 Phone #: (918) 299-8080 Fax #: (918) 298-2838

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
ANDREW DRISCOLL DONNELLY	MD	21227
BRIAN LEWIS	DO	4091
BRENT ALAN WAKEFIELD	MD	22988

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