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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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ACOSTA, JESSICA MARIE
Practice Address: INTEGRIS HEALTH
5501 N PORTLAND AVE
OKLAHOMA CITY OK 73112

Address last updated on 3/26/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 2934
Dated: 8/17/2018
Expires: 3/31/2025
Temp. Ltr. Issued: 8/3/2018
Temp. Ltr. Expires: 11/8/2018
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:
INTEGRIS HEALTH
5501 N PORTLAND AVE
OKLAHOMA CITY OK 73112

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRIAN SCOTT HAILEY MD 31417
STEPHEN PAUL LEE MD 14285
VANCE EDMOND MCCOLLOM MD 17658
Natosha N. Monfore DO 5600
Kevin Shane O'Neal DO 4544
HAKEEM JON SHAKIR MD 33540
CHAD GLENN THOMPSON MD 24966
Robert Treadwell DO 6913
RYAN JOSEPH TROJAN MD 28448

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