Healthcare Provider Details

I. General information

NPI: 1134605637
Provider Name (Legal Business Name): JENNIFER MARIE WILKINSON APRN, PMHNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. JENNIFER MARIE ROBB-WILKINSON

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 SE WASHINGTON ST
PULLMAN WA
99164-0001
US

IV. Provider business mailing address

PO BOX 642302
PULLMAN WA
99164-2302
US

V. Phone/Fax

Practice location:
  • Phone: 509-335-3575
  • Fax: 509-335-6223
Mailing address:
  • Phone: 509-335-3575
  • Fax: 509-335-6223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number59230
License Number StateID

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2125404
Identifier TypeMEDICAID
Identifier StateWA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: