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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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JIN, MARVIN YOUNG JONG
Practice Address: 1620 E 12TH ST
TULSA OK 74120

Address last updated on 6/5/2023
Phone #: (918) 492-7722
Fax #: (918) 357-5859
County: TULSA
License: 10968
Dated: 8/12/1976
Expires: 8/1/2024
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Chonnam Univ Med Sch, Kwangju, So Korea
Graduated: 2 / 1971
CME Year: 2024
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.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Parkside Comm. Psychiatric Services & Hospital
Tulsa, OK
St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
1620 E 12TH ST
TULSA OK 74120

Phone #: (918) 492-7722
Fax #: (918) 357-5859
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JACQUELINE GILMORE APRN 83386
STEPHANIE MCQUARTERS APRN 72210
UCHENNA OKOLONWAMU PA 2047
DAPHNIE PEAK APRN 109779

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