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Individual

HOLLY WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 683-2185
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
86262
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
86262
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86262
LICENSE
OK
Enumeration date
06/10/2014
Last updated
04/08/2020
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