Individual
MRS. SUSAN ELIZABETH WILKERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNC NNP MSN
Contact information
Practice address
1301 PENNSYLVANIA AVE, NEONATAL OFFICE, FORT WORTH, TX 76104-2122
(817) 250-2892
Mailing address
526 LONESOME DOVE, CHINA SPRING, TX 76633-2714
(254) 836-4619
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
450122
TX
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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