Provider Demographics
NPI:1922776137
Name:WILKEY, JENNIFER (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WILKEY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LIBERTY CAMPUS-CLINICS
Mailing Address - Street 2:7777 YANKEE ROAD ML 16062
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-3500
Mailing Address - Country:US
Mailing Address - Phone:513-636-3200
Mailing Address - Fax:513-803-1111
Practice Address - Street 1:LIBERTY CAMPUS-CLINICS
Practice Address - Street 2:7777 YANKEE ROAD ML 16062
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-3500
Practice Address - Country:US
Practice Address - Phone:513-636-3200
Practice Address - Fax:513-803-1111
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily