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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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JACKSON, NICOLE DEXTER
Practice Address: 6202 E 61ST ST
TULSA OK 74136

Address last updated on 9/4/2023
Phone #: (918) 494-8830
Fax #:
County: TULSA
License: 614
Dated: 11/2/2000
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty: Activities of Daily Living (OT/OA only)
Cardiac Dysfunction (OT/OA only)
Fractures/General Orthopedic Treatment (OT/OA only
School Based Practice (OT/OA only)
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
6202 E 61ST ST
TULSA OK 74136

Phone #: (918) 494-8830
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH MAE GREATHOUSE OT 1441

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