Wilson, Nickie Deann

Wilson, Nickie Deann is an individual health care provider with primary practice located at 3100 Medical Pkwy , Claremore OK 74017-1088. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wilson, Nickie Deann can be contacted via phone (918) 342-0770.

Contact Information

Primary practice address
3100 Medical Pkwy Claremore OK 74017-1088
Phone: (918) 342-0770
Fax: (918) 342-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1345 Oklahoma

Profile Details

NPI number 1891147245
LBN Legal business name Wilson, Nickie Deann
Credentials LADC/MH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Mar 31st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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