MEDICARE: MS. AMY WILKINSON PRSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	22-924	WV

General Provider Information

NPI Number	:	1427781087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY WILKINSON PRSS

Provider Business Mailing Address
First Line	:	PO BOX 48
Second Line	:
City	:	CROWN CITY
State	:	OH
Zip	:	45623-0048
Country	:	US
Telephone Number	:	740-853-0152
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 LINCOLN DR
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1834
Country	:	US
Telephone Number	:	681-205-8940
Fax Number	:	866-536-0247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	02/25/2026

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