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Individual

MRS. JENNIFER KAYE WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1019 PADUCAH RD STE B, MAYFIELD, KY 42066-3616
(270) 804-7408
(866) 985-7514
Mailing address
1019 PADUCAH RD STE B, MAYFIELD, KY 42066-3616
(270) 804-7408
(866) 985-7514

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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