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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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NIRAVANH, JENNIFER THIDAPHONE       
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: WASHINGTON REGIONAL MEDICAL CENTER
3215 N. NORTHHILLS BLVD
FAYETTEVILLE AR 72703

Address last updated on 1/9/2024
Phone #: (479) 463-1113
Fax #:
County: NOT OKLAHOMA
License: 6074
Dated: 12/8/2022
Expires: 12/31/2024
License Type: Respiratory Care Practitioner
Specialty:
Status: Active
Status Class: Fully Licensed
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:
WASHINGTON REGIONAL MEDICAL CENTER
3215 N. NORTHHILLS BLVD
FAYETTEVILLE AR 72703

Phone #: (479) 463-1113
Fax #:

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