Provider Demographics
NPI:1205372562
Name:WILKINSON, ADRIENNE WARD (RN)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:WARD
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 STEAM BOAT ST
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7325
Mailing Address - Country:US
Mailing Address - Phone:919-522-4459
Mailing Address - Fax:
Practice Address - Street 1:816 STEAM BOAT ST
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7325
Practice Address - Country:US
Practice Address - Phone:919-522-4459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC284207163W00000X, 163WH0200X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult