Provider Demographics
NPI:1659186484
Name:WILKINSON, CHRISTINA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 WINBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5700
Mailing Address - Country:US
Mailing Address - Phone:985-707-7180
Mailing Address - Fax:
Practice Address - Street 1:529 WINBOURNE DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5700
Practice Address - Country:US
Practice Address - Phone:985-707-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN088178163WL0100X
LAL-60372163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant