Provider Demographics
NPI:1013272129
Name:WILKERSON, SHERRIE DENISE (CD(DONA), LCCE)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:DENISE
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:CD(DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 RIDGE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-7004
Mailing Address - Country:US
Mailing Address - Phone:706-718-2868
Mailing Address - Fax:
Practice Address - Street 1:612 RIDGE CROSSING DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-7004
Practice Address - Country:US
Practice Address - Phone:706-718-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula