Organization
JENNIFER WILKINSON PA-C AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111-2394
(318) 212-7830
(318) 212-7835
Mailing address
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111-2394
(318) 212-7830
(318) 212-7835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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