Individual
BRENDA JUNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
5224 E I 240 SERVICE RD STE 100, OKLAHOMA CITY, OK 73135-2607
(054) 608-3800
(405) 972-7537
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0101889
OK
Other
Enumeration date
06/15/2020
Last updated
05/07/2025
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