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Individual

MRS. DEBORAH M WILKERSON

Active
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Individual

MRS. DEBORAH M WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-C, MSN, COHN-S

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN127940
GA
363LF0000X
Family Nurse Practitioner
Primary
867112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
867112
ARNP-C LICENSE
FL
01
F0803143
AANP CERTIFICATION
FL
01
RN127940
NP
GA
Enumeration date
04/07/2007
Last updated
10/08/2015
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