JUSTICE DWAYNE WILSON
NPI 1225813272
Peer Specialist in Mcalester, OK

Active since August 29, 2023
70 DUCK RD, MCALESTER, OK 74501(918) 421-1755 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justice Dwayne Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTICE DWAYNE WILSON (NPI 1225813272) is an individual peer specialist in Mcalester, Oklahoma and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1225813272
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJUSTICE DWAYNE WILSON
Location Address70 DUCK RDMcalester, OK 74501-5959
Mailing Address1101 E Monroe AveMcalester, OK 74501-4815 · (918) 426-7800
Sole ProprietorNo
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
NPI 1225813272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
70 DUCK RD, Mcalester, OK 74501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justice Wilson's NPI number?

The NPI number for Justice Wilson is 1225813272. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Justice Wilson located?

Justice Wilson practices at 70 Duck Rd, Mcalester, OK 74501. The listed phone number is (918) 421-1755.

What is Justice Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Justice Wilson was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.