CAMPBELL, JESSE RAY - Licensee Information

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

CAMPBELL, JESSE RAY

Practice Address:	MERCY CLINIC EDMOND I-35 SOUTH 2301 W. I-35 FRONTAGE ROAD EDMOND OK 73013 Address last updated on 6/21/2023
Phone #:	(405) 757-3365
Fax #:	(405) 757-3366
County:	OKLAHOMA
License:	20229
Dated:	7/10/1997
Expires:	7/1/2024
Training Issued:	7/1/1996
Training Expires:	8/1/1997
License Type:	Medical Doctor
Specialty:	MEDICINE/PEDIATRICS

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1996
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 INTERNAL MEDICINE AMERICAN BOARD OF PEDIATRICS
New Patients:	Yes
Medicaid:	No
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna PPO BlueChoice PPO BlueLincs HMO HealthChoice PacifiCare of Oklahoma, Inc Preferred Community Choice Prudential Health Care Plan, Inc United Healthcare HMO United Healthcare Options PPO
Hospital Privileges:	Mercy Hospital OKC Oklahoma City, OK

Locations:	Hours:	Languages:
MERCY CLINIC EDMOND I-35 SOUTH 2301 W. I-35 FRONTAGE ROAD EDMOND OK 73013 Phone #: (405) 757-3365 Fax #: (405) 757-3366	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
KRISTIN ANN KRAKOWSKI	PA	1768