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General NPI Number Information
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NPI Number | 1376796987
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Entity Type | Individual
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Provider Name | JESSICA ANN WILKERSON APRN-NP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1700 NW CIVIC DR STE 310
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City | GRESHAM
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State | OR
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Zip | 97030-3774
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Country | US
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Telephone | 503-666-8832
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Fax | 503-669-8641
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone |
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60196762
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201050138NP
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License Number State | OR
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