Provider Demographics
NPI:1013218395
Name:WILKINS, REBECCA I (RD, LDN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:I
Last Name:WILKINS
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 S BARNES ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-1204
Mailing Address - Country:US
Mailing Address - Phone:252-459-9828
Mailing Address - Fax:
Practice Address - Street 1:214 S BARNES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1204
Practice Address - Country:US
Practice Address - Phone:252-459-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC85007723133V00000X
NCL002794133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered