NPI
Joleen Wilson
NPI 1528293586
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- RD/LD
- Type
- Individual
- Enumeration date
- 2009-05-20
- Last updated
- 2023-12-31
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Specialties
Licenses
- License OK
- 1842
Location
- Practice location
- 6336 S 116th East Ave
- City
- Broken Arrow OK
- Postal code
- 74012-1251
- Phone
- (918) 280-8456
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Broken Arrow, OK. 2,338 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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