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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 19, 2024 4:08 AM CDT
Next Update: Sunday, May 19, 2024 12:00 PM CDT

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AUSTIN, STEPHANIE NICHOLE       
Practice Address: CROSSINGS COMMUNITY CLINIC
10255 N PENNSYLVANIA AVE
OKLAHOMA CITY OK 73120

Address last updated on 4/2/2024
Phone #: (405) 749-0800
Fax #:
County: OKLAHOMA
License: 1488
Dated: 4/1/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 1/26/2006
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:
CROSSINGS COMMUNITY CLINIC
10255 N PENNSYLVANIA AVE
OKLAHOMA CITY OK 73120

Phone #: (405) 749-0800
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHELEATHA MICHELLE TAYLOR-BRISTOW MD 27765

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