Individual
SHAWNA MARIE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(337) 531-3011
Mailing address
4100 GOSS RD SW, HUNTSVILLE, AL 35809-0001
(256) 955-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02107
KS
363A00000X
Physician Assistant
4136
TN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/09/2018
Last updated
12/16/2024
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