| Doctor Name: | MS. JOLEEN WILSON |
| NPI Number: | 1528293586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CNSC, LD |
| License Number: | 37001892A |
| Business Practice Address: | 6151 S Yale Ave Suite 1307 Tulsa, OK - 741361907 |
| Business Phone Number: | 9185022000 |
| Business Fax Number: | |
| Mailing Address: | 6600 S Yale Ave, Suite 1200 TULSA |
| State: | OK |
| Postal Code: | 741363347 |
| Phone Number: | 9184886001 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2009 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 37001892A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |