Healthcare Provider Details

I. General information

NPI: 1437035649
Provider Name (Legal Business Name): KIESHA WILKINSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 ATLANTIC AVE
DELRAY BEACH FL
33484-8112
US

IV. Provider business mailing address

1472 ARTIMINO LN
BOYNTON BEACH FL
33436-1110
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-6000
  • Fax:
Mailing address:
  • Phone: 561-632-7817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11041410
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: