Individual
MRS. KELLY GRAHAM WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
620 JOHNS RD, LAURINBURG, NC 28352-5128
(910) 276-8400
Mailing address
8465 SHANNON RD, SHANNON, NC 28386-9333
(910) 775-9202
(910) 775-9224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005394
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5005394
NC
Other
Enumeration date
10/31/2011
Last updated
11/15/2024
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