Jonathan Willson
NPI #1215826037 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1215826037
- Entity Type
- Individual
- Name
- Jonathan Willson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Dec 18, 2025
Practice Location
- Address
- 109 W COMMERCIAL ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4012
- Phone
- (918) 887-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Registered Nurse |
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