Wilkerson, Jennifer Kaye
Wilkerson, Jennifer Kaye is an individual health care provider with primary practice located at 1019 Paducah Rd Ste B , Mayfield KY 42066-3616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilkerson, Jennifer Kaye can be contacted via phone (270) 804-7408.Contact Information
Primary practice address
1019 Paducah Rd Ste B
Mayfield KY 42066-3616
Phone: (270) 804-7408
Fax: (866) 985-7514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3006410 GRP | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6410P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006410 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3006410 | Kentucky |
Profile Details
| NPI number | 1013231786 |
|---|---|
| LBN Legal business name | Wilkerson, Jennifer Kaye |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2010 |
| Last updated | Apr 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013231786 | NPPES |
| Kentucky | Other | 618423 | WELLCARE |
| Kentucky | MEDICAID | 7100113990 | WELLCARE |
| Kentucky | Other | 00587647 | WELLCARE |
| Kentucky | Other | 3006410 | WELLCARE |
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