Individual
JAIME L WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1265 S UTICA AVE, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9228 S MINGO RD, SUITE 200, TULSA, OK 74133-5718
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1246
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003700A
—
OK
01
—
OK401162
MEDICARE PTAN
OK
01
—
P00323977
MEDICARE RAILROAD
OK
Enumeration date
01/30/2006
Last updated
03/24/2017
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