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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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JACKSON, JEFFREY SCOTT       
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: 200 N MAIN ST STE. C
SAND SPRINGS OK 74055

Address last updated on 12/16/2024
Phone #:
Fax #:
County: TULSA
License: 5484
Dated: 5/30/2018
Expires: 1/31/2026
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:
200 N MAIN ST STE. C
SAND SPRINGS OK 74055

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
OTIS RANDOLPH BOOKER JR TA 3051
PAIGE MADISON BRADLEY TA 3419
MARY KATE CALLAHAN TA 3860
TIA RASHAE CULLEN TA 2183
SAVANNAH JOY GILLHAM TA 3607
NATHAN GAGE HENDERSON TA 3008
KYLA NICOLE IBARRA TA 3540
BRENTON KARN TA 3793
JORDAN KAELIN KIGHT TA 3510
CHLOE LANHAM KING TA 3562
JAREN MATHEW MOORMAN TA 2461
KYLIE TREN ROBERSON TA 2784
EMILY SINCLAIR TA 3779
AMBER STULTZ TA 3669
GRACEN ELAINE WHITE TA 3667
LAYNIE RYAN WYRICK TA 3675

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