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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

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RANDOLPH, JESSICA MICHELE
Practice Address: CHEROKEE NATION OUTPATIENT CLINIC
19600 E ROSS ST
TAHLEQUAH OK 74464

Address last updated on 3/26/2024
Phone #: (539) 234-3542
Fax #: (539) 234-3580
County: CHEROKEE
License: 3205
Dated: 5/29/2020
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:
CHEROKEE NATION OUTPATIENT CLINIC
19600 E ROSS ST
TAHLEQUAH OK 74464

Phone #: (539) 234-3542
Fax #: (539) 234-3580

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEPHN DRYWATER MD 30727
JERROD DOUGLAS SPRING MD 30005

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