Wilkinson, Carol G

Wilkinson, Carol G is an individual health care provider with primary practice located at 1564 Kingsley Ave , Orange Park FL 32073-4521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wilkinson, Carol G can be contacted via phone (904) 264-0400.

Contact Information

Primary practice address
1564 Kingsley Ave Orange Park FL 32073-4521
Phone: (904) 264-0400
Fax: (904) 264-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1527642 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN228493 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN1527642 Florida

Profile Details

NPI number 1669714929
LBN Legal business name Wilkinson, Carol G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Feb 6th, 2019 - about 7 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 1669714929 NPPES
Florida MEDICAID 010946000

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