Fred Kenneth Wilkerson in Orange Park - Nurse Practitioner
Fred Kenneth Wilkerson - NPI 1225020829
Fred Kenneth Wilkerson is a Nurse Practitioner in Orange Park, Florida. Fred Kenneth Wilkerson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Fred Kenneth Wilkerson is 1225020829. The last update date is 2008-01-23.
Fred Kenneth Wilkerson's current location address is 2001 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9044212119. The mailing address for Fred Kenneth Wilkerson is 2001 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Fred Kenneth Wilkerson |
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Address | 2001 Kingsley Ave, Orange Park, Florida |
Phone Number | 9044212119 |
Fax Number | |
Sole Proprietor | N |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1225020829 |
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Provider Enumeration Date | 2005-08-19 |
Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
Address | 2001 Kingsley Ave |
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City | Orange Park |
State | Florida (FL) |
Post Code | 320735148 |
Phone Number | 9044212119 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | ARNP 9225617 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Fred Kenneth Wilkerson by the Centers for Medicare & Medicaid Services?
The Fred Kenneth Wilkerson has been assigned the NPI (National Provider Identifier) 1225020829. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Fred Kenneth Wilkerson is physically located?
The Fred Kenneth Wilkerson is physically situated at the following address: 2001 Kingsley Ave, Orange Park, FL, 320735148.
What is Fred Kenneth Wilkerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fred Kenneth Wilkerson's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Fred Kenneth Wilkerson receive the assignment of its 1225020829 from the Centers for Medicare & Medicaid Services?
The Fred Kenneth Wilkerson was issued its 1225020829 by the Centers for Medicare & Medicaid Services on 2005-08-19.
When was the information regarding Fred Kenneth Wilkerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fred Kenneth Wilkerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-23.