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NPI Code Detail

MEDICARE: JAMES BYRAN WESSON ACNS-BC

MEDICARE: JAMES BYRAN WESSON ACNS-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364S00000XClinical Nurse SpecialistR0034908OK
2364S00000XClinical Nurse Specialist74810KS
3364SE0003XEmergency Clinical Nurse SpecialistR0034808OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154382828
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES BYRAN WESSON ACNS-BC
Provider Business Mailing Address
First Line : 1919 S WHEELING AVE
Second Line : SUITE 606
City : TULSA
State : OK
Zip : 74104-5638
Country : US
Telephone Number : 918-748-7676
Fax Number : 918-293-3130
Provider Business Practice Location Address
First Line : 1515 N HARVARD AVE
Second Line : STE. E
City : TULSA
State : OK
Zip : 74115-4957
Country : US
Telephone Number : 918-832-6049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 11/02/2012

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Directions to “ JAMES BYRAN WESSON ACNS-BC” Practice Location

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