JENNIFER WILSON


Address: 2345 Southwest Blvd, Tulsa, OK 74107-2705
Phone: 9185611131

JENNIFER WILSON (NPI# 1932464500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932464500
Entity Type Individual
Full Name JENNIFER WILSON
Credential DO
Practice Address 2345 Southwest Blvd
Tulsa
OK 74107-2705
Practice Telephone 9185611131
Practice Fax Number 9185611140
Mailing Telephone 9185611131
Mailing Fax Number 9185611140
Enumeration Date 2012-07-10
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 5681 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200589190A 05
OK MEDICARE 413203YM2Y 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3345 S Harvard Ave Ste 201, Tulsa, OK 741351809 9187488111 9187445284

Other Providers JENNIFER WILSON

NPI Name Taxonomy Address Enumeration
1770112013 Jennifer Rockell Wilson Case Manager/Care Coordinator 450 S Venoy Rd, Westland, MI 48186-7805 2020-04-08
1023577665 Jennifer Marie Wilson Social Worker 9660 Bend Dr, Jenison, MI 49428-9525 2019-03-13
1720545049 Jennifer M Wilson Registered Nurse 17 Ridge Ave, Spring Valley, NY 10977-5407 2019-02-22
1528533726 Jennifer S. Wilson Specialist/Technologist 216 Cody Ct, Clarksville, TN 37043-5897 2018-10-04
1750881488 Jennifer Michele Wilson Licensed Vocational Nurse 20606 N Interstate 35, West, TX 76691-1812 2018-02-19
1942725700 Jennifer Lynnette Wilson Physician Assistant 282 Equestrian Way, Raeford, NC 28376-7721 2017-08-13
1548782543 Jennifer Wilson Nurse Practitioner 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 2017-07-11
1770012775 Jennifer Wilson Registered Nurse 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 2017-06-05
1174069694 Jennifer Wilson Behavior Technician 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 2017-01-07
1033579396 Jennifer Wilson Nurse Practitioner 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 2016-03-01

Office Location

Street Address 2345 SOUTHWEST BLVD
City TULSA
State OK
Zip Code 74107-2705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164403986 Lana Dawn Myers Family Medicine 2345 Southwest Blvd, Tulsa, OK 74107-2705 2005-11-09
1164040879 Osu Center for Health Sciences Clinic/Center 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-07-09
1962031591 Dylan Tyler Roberts Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-06
1265061733 Emil Amar Kasmia Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-06
1538798178 Cody Hume Miller Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-06
1689203580 Josiah Thomas Greer Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-03
1437788452 Brandon Edward Rawlinson Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-02
1073142022 Nicole L Abel Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-02
1952939183 Tyler D Ingersoll Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-01
1144858358 Christopher Jason Guinn Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd, Tulsa, OK 74107-2705 2020-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508493784 Squareone Compassion Inc Clinic/Center 5323 South 65th West Avenue, Tulsa, OK 74107 2020-03-26
1649772476 Lauren Michele Rogers Student in an Organized Health Care Education/Training Program 1111 W. 17th St., Barson 241, Tulsa, OK 74107 2018-03-07
1336641828 Frank Patrick Goodman Student in an Organized Health Care Education/Training Program 2345 Sw Blvd, Tulsa, OK 74107 2018-03-01
1659827269 Careatc - America Waste Clinic/Center 23322 Southwest Blvd, Tulsa, OK 74107 2016-09-01
1538530886 Jeremy Michael Bowles Pharmacist 4227 Southwest Boulevard, Tulsa, OK 74107 2015-10-13
1760725865 Nicholas Alexander Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 2013-03-27
1295095321 Robert Steven Wedding Counselor 6033 S. 31 St. West Ave., Tulsa, OK 74107 2012-05-23
1295911451 American Current Care P.a. Clinic/Center 5682 W Skelly Drive, Tulsa, OK 74107 2008-01-17
1821200072 Leeca Jenkins Counselor 2007 W. 57th St, Tulsa, OK 74107 2007-05-03
1477670552 Occupational Health Centers of The Southwest, P.a. Clinic/Center 5682 W. Skelly Drive, Tulsa, OK 74107 2007-03-23
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992347355 Next Level Primary Care, Pllc Family Medicine 8905 E 34th St, Tulsa, OK 74145-3403 2019-10-16
1740751445 Ernest Kaara Maina Family Medicine 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 2018-12-07
1801373659 Hygiea Healthcare Solutions, Inc. Family Medicine 7220 E 41st St, Tulsa, OK 74145-4504 2018-07-24
1760970875 Antidote Medical Partners LLC Family Medicine 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 2018-04-24
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1992224349 Elite Family Medicine LLC Family Medicine 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 2017-09-18
1881114874 Care Driven Senior Care, Pllc Family Medicine 5821 E 46th St, Tulsa, OK 74135-6830 2017-06-21
1346779816 Herman Gonzalez Family Medicine 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 2017-06-08
1003343831 Robert Capehart Family Medicine 1110 E 18th St, Tulsa, OK 74120-7409 2017-05-11
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Competitor

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City TULSA
Zip Code 74107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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