Jonathan Willson

Nurse Practitioner · Broken Arrow, OK

Individual Active NPI

NPI number 1215826037

Practice location

109 W Commercial St
Broken Arrow, OK 74012-4012
Phone
(918) 887-8300

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NPI record

NPI
1215826037
Entity type
Individual (Type 1)
Enumeration date
June 30, 2025
Last updated
December 18, 2025
Certified
December 18, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 225851 OK
Registered Nurse 163W00000X R0133031 OK

About Jonathan Willson

Jonathan Willson is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 109 W Commercial St, Broken Arrow, OK 74012-4012. The NPI number 1215826037 was assigned on June 30, 2025 and the record was last updated on December 18, 2025.

Jonathan Willson lists 2 licenses in the registry: #225851 (OK) for Nurse Practitioner; #R0133031 (OK) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Willson?

The NPI number is 1215826037.

What is the phone number of Jonathan Willson?

The phone number listed for the practice location is (918) 887-8300.

Where is Jonathan Willson located?

109 W Commercial St, Broken Arrow, OK 74012-4012.

What is the taxonomy code for Jonathan Willson?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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