Healthcare Provider Details

I. General information

NPI: 1932049665
Provider Name (Legal Business Name): AT HOME WOUND CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 S LEWIS AVE STE 155
TULSA OK
74105-6556
US

IV. Provider business mailing address

5211 S LEWIS AVE STE 155
TULSA OK
74105-6556
US

V. Phone/Fax

Practice location:
  • Phone: 918-899-9256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JILLIAN STEYL
Title or Position: OWNER/APRN
Credential:
Phone: 918-899-9256