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General NPI Number Information
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NPI Number | 1083377873
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Entity Type | Individual
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Provider Name | JESSICA ANN WILKERSON NP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 7720 S BROADWAY STE 250
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City | LITTLETON
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State | CO
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Zip | 80122-2634
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Country | US
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Telephone | 720-922-6240
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Fax | 720-922-6241
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Provider Business Mailing Address
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Address Line | 7720 S BROADWAY STE 250
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City | LITTLETON
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State | CO
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Zip | 80122-2634
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Country | US
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Telephone | 720-922-6240
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Fax | 720-922-6241
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APN.0997018-NP
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License Number State | CO
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