Healthcare Provider Details

I. General information

NPI: 1821928623
Provider Name (Legal Business Name): WILDFLOWER PSYCHOLOGY & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 E 101ST ST N
OWASSO OK
74055-6421
US

IV. Provider business mailing address

3171 S 129TH E AVE STE A #5298
TULSA OK
74134
US

V. Phone/Fax

Practice location:
  • Phone: 918-236-8133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. AMBER NIPPER
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSYD
Phone: 918-236-8133