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JACKIE RAY WILSON
NPI 1831835107
Peer Specialist in Stroud, OK

Active since May 10, 2022
119 W 2ND ST, STROUD, OK 74079(405) 328-1549 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2022, May 10, 2022 (2 updates tracked since 2022).

About Jackie Ray Wilson NPPES

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

JACKIE RAY WILSON (NPI 1831835107) is an individual peer specialist in Stroud, Oklahoma and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1831835107
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACKIE RAY WILSON
Location Address119 W 2ND STStroud, OK 74079-4011
Mailing Address6333 E Skelly DrTulsa, OK 74135-6106 · (918) 664-4224
Phone(405) 328-1549
Sole ProprietorNo
Enumeration DateMay 10, 2022
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1831835107 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.
119 W 2ND ST, Stroud, OK 74079
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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 Jackie Wilson's NPI number?

The NPI number for Jackie Wilson is 1831835107. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Jackie Wilson located?

Jackie Wilson practices at 119 W 2nd St, Stroud, OK 74079. The listed phone number is (405) 328-1549.

What is Jackie 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 Jackie Wilson was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.