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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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JOHNSON-SIMPSON, JEANIE KAY
Practice Address: 2400 N HARRISON
2400 N
SHAWNEE OK 74804

Address last updated on 2/23/2024
Phone #: (405) 395-4441
Fax #: (405) 438-0540
County: POTTAWATOMIE
License: 1496
Dated: 4/1/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 12/15/2005
Temp. Ltr. Expires: 5/13/2006
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
2400 N HARRISON
2400 N
SHAWNEE OK 74804

Phone #: (405) 395-4441
Fax #: (405) 438-0540

Hospital Privileges:

St. Anthony Shawnee Hospital (fmly Unity Health Ctr) (SSM Health)
Shawnee, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RODNEY MCCRORY DO 2750
DOUGLAS RYAN RIDDLE MD 23957

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