Wilkerson, Stephanie Anne

Wilkerson, Stephanie Anne is an individual health care provider with primary practice located at 80 Vermont Ave , Oak Ridge TN 37830-6474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilkerson, Stephanie Anne can be contacted via phone (865) 482-4078.

Contact Information

Primary practice address
80 Vermont Ave Oak Ridge TN 37830-6474
Phone: (865) 482-4078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0000012134 Tennessee

Profile Details

NPI number 1659567568
LBN Legal business name Wilkerson, Stephanie Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 1st, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659567568 NPPES
Tennessee MEDICAID 3341206

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