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Misty Wilson

NPI 1003725060 · on the registry since 2026 · sole proprietor

Practice

Address
1298 W 4th St
Tahlequah, OK 74464
Phone
(918) 456-8826

Additional practice sites

  • 901 Nw 6th St, Stigler, OK

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma