Healthcare Provider Details

I. General information

NPI: 1902462831
Provider Name (Legal Business Name): HANNA N. WILKINSON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date: 05/08/2024
Reactivation Date: 05/26/2026

III. Provider practice location address

3595 N. WEBB RD STE 100
WICHITA KS
67226
US

IV. Provider business mailing address

3595 N. WEBB RD STE 100
WICHITA KS
67226
US

V. Phone/Fax

Practice location:
  • Phone: 316-667-6700
  • Fax: 316-667-6701
Mailing address:
  • Phone: 316-667-6700
  • Fax: 316-667-6701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-85760-082
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number48941
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: