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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 16, 2024 4:48 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT

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GREEN, JAYLEN ZAKI       
Practice Address: 19600 E. ROSS ST
TAHLEQUAH OK 74464

Address last updated on 4/3/2024
Phone #:
Fax #:
County: CHEROKEE
License: 38136
Dated: 5/20/2021
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 5 / 2018
CME Year: 2027
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
19600 E. ROSS ST
TAHLEQUAH OK 74464

Phone #:
Fax #:
Mon: 7:30AM - 6:00PM
Tue: 7:30AM - 6:00PM
Wed: 7:30AM - 6:00PM
Thu: 7:30AM - 6:00PM
Fri: 7:30AM - 6:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TRACIE ASBILL APRN 90062
LISA MEYERS APRN 77708

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