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Last Update: Thursday, March 28, 2024 3:59 AM CDT
Next Update: Thursday, March 28, 2024 12:00 PM CDT
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JANSEN, NICK |
Practice Address: |
KOWETA INDIAN HEALTH CENTER
31870 E. HIGHWAY 51
COWETA OK 74429
Address last updated on 2/15/2024 |
Phone #: |
(918) 279-3200 |
Fax #: |
|
County: |
WAGONER |
License: |
2161 |
Dated: |
1/23/2013 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
9/18/2012 |
Temp.
Ltr.
Expires:
|
4/1/2013 |
License Type: |
Physician Assistant |
Specialty: |
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|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
ASHLEY SCOTT
|
DO |
7251 |
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