Individual
HALEY JO WIGELSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 E 13TH ST STE A, GROVE, OK 74344-2962
(918) 786-9900
Mailing address
35650 CIRCLE DR, VINITA, OK 74301-7056
(918) 605-2337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212452
OK
Other
Enumeration date
04/05/2023
Last updated
06/20/2023
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