Provider Demographics
NPI:1205582681
Name:WILKINS, DANIELA (APRN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:WILKINS
Suffix:
Gender:F
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 CHALET CIR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-1640
Mailing Address - Country:US
Mailing Address - Phone:931-220-8645
Mailing Address - Fax:
Practice Address - Street 1:103 JEFFERSON ST STE 100
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-8681
Practice Address - Country:US
Practice Address - Phone:931-266-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30920363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN30920OtherAPRN LICENSE WITH CERTIFICATE OF FITNESS