Individual
JADE LEE WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 WALNUT GROVE RD, MEMPHIS, TN 38111-3509
(901) 515-4800
Mailing address
4971 CHICKASAW RD, MEMPHIS, TN 38117-2001
(501) 538-3294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26290
TN
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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