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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 4, 2024 1:10 PM CDT
Next Update: Saturday, May 4, 2024 4:30 PM CDT

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CLARK, EMILYANNE NICOLE
Practice Address: 1200 CHILDRENS AVE
OKLAHOMA CITY OK 73104

Address last updated on 3/12/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 4857
Dated: 10/21/2022
Expires: 3/31/2025
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:
1200 CHILDRENS AVE
OKLAHOMA CITY OK 73104

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MANZILAT YEYEDEHINBO AKANDE MD 33862
HELEN CHRISTINE ALLEN MD 21209
RAYA ALSHAWI MD 35496
AHMED ARSHAD MD 39107
STEPHANIE RACHELLE BROWN MD 35535
ANDREW KOHLMAIER GORMLEY MD 20757
THERESA MARY GRAIF MD 34510
NEHA GUPTA MD 34405
LAURA MARIE HAWS MD 25756
EMILIE DAWN HENRY MD 22459
CHRISTOPHER LOREN JENKS MD 37659
AMY ELIZABETH LEE MD 32788
TEDDY MWIMI MUISYO MD 34296
COURTNEY DAWN RANALLO MD 29796
SENTHURAN VIJAYARAJAH MD 37579
CHRISTINA KATHLEEN WALSH MD 33059

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