NIGHTENGALE, MADISON LIN - 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

NIGHTENGALE, MADISON LIN

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:	FAIRVIEW REGIONAL MEDICAL CENTER 823 JESTER DRIVE FAIRVIEW OK 73737 Address last updated on 1/16/2024
Phone #:	(580) 227-1325
Fax #:
County:	MAJOR
License:	5333
Dated:	7/27/2017
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:
FAIRVIEW REGIONAL MEDICAL CENTER 823 JESTER DRIVE FAIRVIEW OK 73737 Phone #: (580) 227-1325 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
GABRIELLE ANN NIGHTINGALE	TA	1310
GABRIELLE ANN NIGHTINGALE	TA	1310
JUSTIN EARL SCHOONMAKER	TA	2657
JUSTIN EARL SCHOONMAKER	TA	2657
KAITLIN F WALLACE	TA	2948

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