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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 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:
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:
KOWETA INDIAN HEALTH CENTER
31870 E. HIGHWAY 51
COWETA OK 74429

Phone #: (918) 279-3200
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHLEY SCOTT DO 7251

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