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General NPI Number Information
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NPI Number | 1669788642
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Entity Type | Individual
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Provider Name | MELISSA GAIL WILKERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1724 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4916
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Country | US
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Telephone | 502-327-9100
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Fax | 855-632-8329
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Provider Business Mailing Address
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Address Line | 200 BRULE ST
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City | FORT KNOX
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State | KY
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Zip | 40121-6100
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Country | US
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Telephone | 502-624-9333
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3006593
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71003408A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3006593
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71003408A
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License Number State | IN
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