Individual
MICHAEL TODD WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(423) 631-0432
(423) 232-8818
Mailing address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(423) 963-0754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19438
TN
363LF0000X
Family Nurse Practitioner
APN0000019438
TN
Other
Enumeration date
06/29/2015
Last updated
02/25/2026
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