Provider Demographics
NPI:1649088899
Name:WILKINSDAVIS, TAMEKA DELANO (RN)
Entity type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:DELANO
Last Name:WILKINSDAVIS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:5017 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-3139
Mailing Address - Country:US
Mailing Address - Phone:917-202-0523
Mailing Address - Fax:844-944-4345
Practice Address - Street 1:5017 WOODSIDE DR
Practice Address - Street 2:
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-3139
Practice Address - Country:US
Practice Address - Phone:917-202-0523
Practice Address - Fax:844-944-4345
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN734095163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health