Individual
JASMINE LEANDRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6724 BRIARCREEK DR, OKLAHOMA CITY, OK 73162-7426
(405) 479-2691
Mailing address
6724 BRIARCREEK DR, OKLAHOMA CITY, OK 73162-7426
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/28/2024
Last updated
02/19/2026
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