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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

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ELKINS, NICOLE RACHELLE
Practice Address: 2002 12TH AVE NW SUITE D
ARDMORE OK 73401

Address last updated on 2/27/2024
Phone #: (580) 226-8646
Fax #:
County: CARTER
License: 1788
Dated: 4/1/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 12/19/2008
Temp. Ltr. Expires: 4/3/2009
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:
2002 12TH AVE NW SUITE D
ARDMORE OK 73401

Phone #: (580) 226-8646
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFREY A BUYTEN MD 26178
SCOTT ALLEN DEMPEWOLF MD 20353
JEREMY ADAM MOORE MD 25527
AARON AUSTIN TABOR MD 29347

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