Provider Demographics
NPI:1598111064
Name:WILKINSON, JANELLE C (MD)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:C
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100237
Mailing Address - Street 2:UNIVERSITY OF FLORIDA COMMUNITY HEALTH & FAMILY MEDICIN
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3001
Mailing Address - Country:US
Mailing Address - Phone:352-273-5138
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER ROAD- SUITE N1-07
Practice Address - Street 2:UNIVERSITY OF FLORIDA COMMUNITY HEALTH & FAMILY MEDICIN
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3001
Practice Address - Country:US
Practice Address - Phone:352-273-5138
Practice Address - Fax:352-273-5213
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2020-01-23
Deactivation Date:2016-12-29
Deactivation Code:
Reactivation Date:2017-02-08
Provider Licenses
StateLicense IDTaxonomies
FLME137988207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine