Joleen Wilson, RD/LD

Registered Dietitian · Broken Arrow, OK

Individual Active NPI

NPI number 1528293586

Practice location

6336 S 116TH East Ave
Broken Arrow, OK 74012-1251
Phone
(918) 280-8456
Fax
(855) 438-6802

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NPI record

NPI
1528293586
Entity type
Individual (Type 1)
Enumeration date
May 20, 2009
Last updated
December 31, 2023
Certified
December 31, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 1842 OK

Mailing address

1701 S Main St
PMB 2735
Broken Arrow, OK 74013-9701
Phone
(918) 280-8456
Fax
(855) 438-6802

About Joleen Wilson

Joleen Wilson, RD/LD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 6336 S 116TH East Ave, Broken Arrow, OK 74012-1251. The NPI number 1528293586 was assigned on May 20, 2009 and the record was last updated on December 31, 2023.

Joleen Wilson lists a license in the registry: #1842 (OK) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joleen Wilson, RD/LD?

The NPI number is 1528293586.

What is the phone number of Joleen Wilson?

The phone number listed for the practice location is (918) 280-8456.

Where is Joleen Wilson located?

6336 S 116TH East Ave, Broken Arrow, OK 74012-1251.

What is the taxonomy code for Joleen Wilson?

The primary taxonomy code is 133V00000X – Registered Dietitian.

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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