JOHNSON, JEREMY WAYNE - 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

JOHNSON, JEREMY WAYNE

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 REHABILITATION HOSPITAL - OKC SOUTH 7900 MID AMERICA BLVD OKLAHOMA CITY OK 73135 Address last updated on 5/22/2024
Phone #:	(405) 251-9631
Fax #:
County:	OKLAHOMA
License:	3716
Dated:	5/27/2004
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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 REHABILITATION HOSPITAL - OKC SOUTH 7900 MID AMERICA BLVD OKLAHOMA CITY OK 73135 Phone #: (405) 251-9631 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
JESSICA MARIE BROWN	TA	2180
ANNA MARIA COSTELLO	TA	3289
RICHARD KOHL FRANCIS	TA	3528
KEMI RENEE SOGUNRO	TA	3295
SHANA RENEE STEPHENSON	TA	2138
KARA VARGHESE	TA	3450
NICOLE WADE	TA	3740
AARON LLOYD WHETSTONE	TA	2752

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