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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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HAISLIP, HEIDI LYNNE
Practice Address: 1401 WEST 1ST STREET
WWEWOKA OK 74884

Address last updated on 1/4/2024
Phone #: (405) 257-6908
Fax #: (405) 257-3396
County: SEMINOLE
License: 28183
Dated: 2/7/2011
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Dalhousie Univ, Fac Of Med, Halifax, Ns, Canada
Graduated: 6 / 1994
CME Year: 2026
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: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Holdenville General Hospital
Holdenville, OK
Locations: Hours: Languages:
1401 WEST 1ST STREET
WWEWOKA OK 74884

Phone #: (405) 257-6908
Fax #: (405) 257-3396
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY ASHLEY APRN 89487
AERIC CREEKMORE II APRN 80829
JULIA DORITY APRN 85717
RALPH TILLMAN FALCONER PA 670
KATHERINE GREEN APRN 12052

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