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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

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JACOBS, SHELLY LAURA
Practice Address: 6424 N PORTLAND
OKLAHOMA CITY OK 73116

Address last updated on 6/21/2023
Phone #: (405) 757-4643
Fax #:
County: OKLAHOMA
License: 18018
Dated: 7/1/1992
Expires: 7/1/2024
Training Issued: 6/21/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1990
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:
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: HealthChoice
Hospital Privileges: INTEGRIS Deaconess Campus (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
6424 N PORTLAND
OKLAHOMA CITY OK 73116

Phone #: (405) 757-4643
Fax #:
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220 S Littler
edmond, OK 73083

Phone #: (405) 341-1683
Fax #: (7) 200-
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Federal Building
oklahoma city, OK 73101

Phone #: (405) 231-5309
Fax #: (10) 201-
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