IndividualActive
Autumn Wilson, APRN
NPI 1639874662 · Family Nurse Practitioner · Poteau, OK
Provider details
- NPI number
- 1639874662
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 209703 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
105 Wall Street
Poteau, OK 74953
Phone: (918) 635-3576
Fax: (918) 635-3332
Approximate (ZIP-level) locationGet directions
Mailing address
105 Wall Street
Poteau, OK 74953
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2024-03-28
- Certified
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.