Individual
KRISTIN JEAN WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-7800
Mailing address
200 S WELLS RD, #200, VENTURA, CA 93004-1377
(805) 659-1740
(805) 659-9959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R876185
MS
363LF0000X
Family Nurse Practitioner
95000211
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95000211
CA
Other
Enumeration date
02/07/2013
Last updated
07/30/2019
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