Provider Demographics
NPI:1235678731
Name:WILKEY, JESSE (DC)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:
Last Name:WILKEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JESSE
Other - Middle Name:
Other - Last Name:ROLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1215 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3074
Mailing Address - Country:US
Mailing Address - Phone:615-604-9872
Mailing Address - Fax:
Practice Address - Street 1:1215 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3074
Practice Address - Country:US
Practice Address - Phone:615-604-9872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TN0000003725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician