Provider Demographics
NPI:1811956170
Name:AYLOR-WILKERSON, NANCI H (ARNP/CRNA)
Entity type:Individual
Prefix:
First Name:NANCI
Middle Name:H
Last Name:AYLOR-WILKERSON
Suffix:
Gender:F
Credentials:ARNP/CRNA
Other - Prefix:
Other - First Name:NANCI
Other - Middle Name:
Other - Last Name:DUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1851
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-715-9976
Practice Address - Street 1:1301 PENNSYLVANIA AVE
Practice Address - Street 2:SRP2-ROOM 73
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76401
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS43-557195-021367500000X
FLARNP9163084367500000X
TXAP123480367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered