Provider Demographics
NPI:1659568491
Name:GUINN, WILMA JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:WILMA
Middle Name:JEAN
Last Name:GUINN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 ERIE ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-7609
Mailing Address - Country:US
Mailing Address - Phone:918-269-5390
Mailing Address - Fax:
Practice Address - Street 1:904 ERIE ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-7609
Practice Address - Country:US
Practice Address - Phone:918-269-5390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR 0055637163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse