Individual
CAROL G WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4521
(904) 264-0400
(904) 264-0401
Mailing address
14750 BEACH BLVD APT 56, JACKSONVILLE, FL 32250-2354
(904) 536-7266
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1527642
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN1527642
FL
367500000X
Certified Registered Nurse Anesthetist
RN228493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010946000
—
FL
Enumeration date
03/25/2013
Last updated
02/06/2019
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