=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346121704
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESOLVE WOUND CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2025
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 431 HICKORY HILL DR
-----------------------------------------------------
City | CHOCTAW
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73020-7476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-209-5332
-----------------------------------------------------
Fax | 405-281-1186
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 431 HICKORY HILL DR
-----------------------------------------------------
City | CHOCTAW
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73020-7476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-209-5332
-----------------------------------------------------
Fax | 405-281-1186
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JULIE HINCHEY
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 405-209-5332
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------