Healthcare Provider Details

I. General information

NPI: 1043136500
Provider Name (Legal Business Name): MRS. ALANA WILKERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BONNIE BROOK RD
ABERDEEN NC
28315-3125
US

IV. Provider business mailing address

1228 YELLOWWOOD DR
ABERDEEN NC
28315-6702
US

V. Phone/Fax

Practice location:
  • Phone: 910-716-0099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024774
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: