Provider Demographics
NPI:1790579068
Name:WILKINSON, AOLLANI E
Entity type:Individual
Prefix:
First Name:AOLLANI
Middle Name:E
Last Name:WILKINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2027
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07019-2027
Mailing Address - Country:US
Mailing Address - Phone:973-901-0916
Mailing Address - Fax:
Practice Address - Street 1:15 WARREN ST BSMT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3088
Practice Address - Country:US
Practice Address - Phone:973-901-0916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula