IndividualActive
Amanda Wilson, LPN
NPI 1023976461 · Licensed Practical Nurse · Oklahoma City, OK
Provider details
- NPI number
- 1023976461
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- L0057189 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
4013 Nw Expressway Ste 105
Oklahoma City, OK 73116-2618
Phone: (405) 676-8470
Fax: (405) 676-5802
Approximate (ZIP-level) locationGet directions
Mailing address
4013 Nw Expressway Ste 105
Oklahoma City, OK 73116-2618
Registry dates
- Enumerated
- 2026-01-14
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.