Individual
DR. NICOLE APRIL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.D.
Contact information
Practice address
1200 CHILDRENS AVE STE 2E, OKLAHOMA CITY, OK 73104-4637
(405) 271-5789
(405) 271-1643
Mailing address
1200 CHILDRENS AVE STE 2E, OKLAHOMA CITY, OK 73104-4637
(405) 271-5789
(405) 271-1643
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
304415
NY
2086S0120X
Pediatric Surgery Physician
Primary
45923
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06055958
—
NY
01
—
2018008652
STATE OF MISSOURI
MO
01
—
304415
STATE OF NEW YORK
NY
Enumeration date
06/23/2013
Last updated
09/17/2025
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