Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN WILLSON
Active Sole ProprietorJONATHAN WILLSON is a Nurse Practitioner healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1215826037 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1215826037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2025 (1.1613482485394 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
225851 (OK)R0133031 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W COMMERCIAL STBROKEN ARROW, OK, 740124012Browse OK providers · Browse ZIP 74012
- Phone
- 9188878300
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Registered Nurse
Other Nurse Practitioner Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| GARY DWAYNE RALEIGH | NP | 1336333442 |
| MS. BRANDI SHANTIL HAMM | NP | 1841523594 |
| BRYAN KIENTZ | — | 1912381526 |
| PATSY WISEMAN | APRN-CNP | 1689049355 |
| KIMBERLY A SMALLWOOD | APRN | 1538670690 |
| SERENA MUNOZ | APRN | 1801480017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.