Individual
DENITA WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13230 MANCHESTER RD, DES PERES, MO 63131-1706
(314) 821-2886
Mailing address
5132 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 235-6130
(847) 235-6135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020002138
MO
363LF0000X
Family Nurse Practitioner
209020918
IL
Other
Enumeration date
03/24/2015
Last updated
10/16/2024
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