Provider Demographics
NPI:1972128205
Name:WILKINSON, JULIE ANN
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 ROUTE 20A
Mailing Address - Street 2:
Mailing Address - City:STRYKERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14145-9584
Mailing Address - Country:US
Mailing Address - Phone:585-297-6054
Mailing Address - Fax:
Practice Address - Street 1:763 ROUTE 20A
Practice Address - Street 2:
Practice Address - City:STRYKERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14145-9584
Practice Address - Country:US
Practice Address - Phone:585-297-6054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296445-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse