# MRS. CHANEL JANES WILKINSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932104916
- **Gender:** F
- **Credential:** FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | AP112619 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP112619 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 02/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1624892-03 | — | TX |
| 05 | — | 162489204 | — | TX |
| 01 | — | 262918YLPS | WELLMED MEDICAL GROUP PA | TX |
| 01 | — | H08Y870101 | BCBS | TX |
| 01 | — | P00673289 | MEDICARE RR | — |