Jackie Ray Wilson
Peer Specialist · Stroud, OK
NPI number
1831835107
Practice location
119 W 2ND StStroud, OK 74079-4011
- Phone
- (405) 328-1549
NPI record
- NPI
- 1831835107
- Entity type
- Individual (Type 1)
- Enumeration date
- May 10, 2022
- Last updated
- December 16, 2022
- Certified
- December 16, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
6333 E Skelly DrTulsa, OK 74135-6106
- Phone
- (918) 664-4224
About Jackie Wilson
Jackie Ray Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 119 W 2ND St, Stroud, OK 74079-4011. The NPI number 1831835107 was assigned on May 10, 2022 and the record was last updated on December 16, 2022.
Frequently asked questions
What is the NPI number of Jackie Ray Wilson?
The NPI number is 1831835107.
What is the phone number of Jackie Wilson?
The phone number listed for the practice location is (405) 328-1549.
Where is Jackie Wilson located?
119 W 2ND St, Stroud, OK 74079-4011.
What is the taxonomy code for Jackie Wilson?
The primary taxonomy code is 175T00000X – Peer Specialist.
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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