Individual
JOSEPH MICHAEL WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3516 US HIGHWAY 301 S, SMITHFIELD, NC 27577-9495
(800) 243-0566
(252) 243-1347
Mailing address
1806 GLENDALE DR SW, WILSON, NC 27893-4402
(800) 243-0566
(252) 243-1347
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
CNP-02848
NM
363L00000X
Nurse Practitioner
Primary
5001563
NC
363L00000X
Nurse Practitioner
CNP-02848
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003944
—
NC
01
—
PENDING
TRICARE PROVIDE NUMBER
NC
Enumeration date
07/21/2006
Last updated
08/04/2021
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