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DAVENPORT, JENNIFER APRIL       
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: NYP COLUMBIA
622 W 168TH STREET
NEW YORK NV 10032

Address last updated on 5/4/2020
Phone #: (212) 305-2995
Fax #:
County: NOT OKLAHOMA
License: 3366
Dated: 2/26/2010
Expires: 2/28/2022
Temp. Ltr. Issued: 12/30/2009
Temp. Ltr. Expires: 3/12/2010
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
NYP COLUMBIA
622 W 168TH STREET
NEW YORK NV 10032

Phone #: (212) 305-2995
Fax #:

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