Search › Oklahoma › 363L00000X
Jonathan Willson
NPI 1215826037 · on the registry since 2025 · sole proprietor
Practice
- Address
- 109 W Commercial St
Broken Arrow, OK 74012 - Phone
- (918) 887-8300
- Organisation at this address
- Peterson Wellness Primary Care And Pediatrics, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-18
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