| Jonathan Willson, | |
|
109 W Commercial St, Broken Arrow, OK 74012-4012 | |
| (918) 887-8300 | |
| Not Available |
| Full Name | Jonathan Willson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 109 W Commercial St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215826037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 225851 (Oklahoma) | Primary |
| 163W00000X | Registered Nurse | R0133031 (Oklahoma) | Secondary |
| Entity Name | Peterson Wellness Primary Care and Pediatrics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851062517 PECOS PAC ID: 3173919149 Enrollment ID: O20220331001944 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Willson, 109 W Commercial St, Broken Arrow, OK 74012-4012 Ph: (918) 887-8300 | Jonathan Willson, 109 W Commercial St, Broken Arrow, OK 74012-4012 Ph: (918) 887-8300 |
Carmen Kay Oakes, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012 Phone: 918-237-9627 |
Cathleen Diane Griffin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 W Oakland St, Broken Arrow, OK 74012 Phone: 918-251-2666 |
Mrs. Kristi Gene Sager, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-693-0834 |
Brittany Naomi Smith, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19609 E 39th St S, Broken Arrow, OK 74014 Phone: 918-845-7651 |
Amanda Skvortsov, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Commercial St, Broken Arrow, OK 74012 Phone: 918-887-8300 |
Anila Arshad, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 S Desert Palm Ave, Broken Arrow, OK 74012 Phone: 918-841-1749 |
Ms. Kyndal Renee' Stevens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-0414 |