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Individual
MRS. JENNIFER KAYE WILKERSON
Active
Individual
MRS. JENNIFER KAYE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006410
KY
363L00000X
Nurse Practitioner
3006410 GRP
KY
363L00000X
Nurse Practitioner
6410P
KY
363LF0000X
Family Nurse Practitioner
3006410
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006410
NEW APRN # 01-10-11
KY
01
—
618423
WELLCARE
KY
05
—
7100113990
—
KY
Enumeration date
03/24/2010
Last updated
07/01/2025
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