Provider Demographics
NPI:1720274806
Name:SMITH, WILMA JEAN (RN, COHN-S)
Entity type:Individual
Prefix:MS
First Name:WILMA
Middle Name:JEAN
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN, COHN-S
Other - Prefix:MISS
Other - First Name:WILMA
Other - Middle Name:JEAN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:3009 WILSON ST
Mailing Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-9042
Mailing Address - Country:US
Mailing Address - Phone:580-458-2134
Mailing Address - Fax:580-458-2314
Practice Address - Street 1:3009 WILSON ST
Practice Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-9042
Practice Address - Country:US
Practice Address - Phone:580-458-2134
Practice Address - Fax:580-458-2314
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0046548163WX0106X
TX257593163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health