MEDICARE: JUDITH WICKLUND NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	0024090481	VA

General Provider Information

NPI Number	:	1326026584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH WICKLUND NP

Provider Business Mailing Address
First Line	:	PO BOX 159
Second Line	:
City	:	ONLEY
State	:	VA
Zip	:	23418-0159
Country	:	US
Telephone Number	:	757-787-7374
Fax Number	:	757-787-4513

Provider Business Practice Location Address
First Line	:	20306 BADGER LANE
Second Line	:
City	:	ONLEY
State	:	VA
Zip	:	23418
Country	:	US
Telephone Number	:	757-787-7374
Fax Number	:	757-787-4513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	08/30/2012

Similar Medicare Providers

1316178486 — LAKEILA TACHELLE POWELL PA
Practice Location Address:

25228 LANKFORD HWY
ONLEY, VA
23418

Practice Phone: 757-787-1465
Practice Fax:

1881698843 — ADVANTAGE MEDICAL, INC.
Practice Location Address:

25328 LANKFORD HWY
ONLEY, VA
23418

Practice Phone: 757-789-5092
Practice Fax: 757-789-5095

1972507721 — ELIZABETH H HUBBARD FNP
Practice Location Address:

20306 BADGER LANE
ONLEY, VA
23418

Practice Phone: 757-787-7341
Practice Fax: 757-787-4513

1629055462 — MOSHER PHYSICAL THERAPY AND SPORTSMEDICINE INC
Practice Location Address:

20435 WASHINGTON ST
ONLEY, VA
23418

Practice Phone: 757-789-3075
Practice Fax: 757-789-3306

1386622611 — THOMAS HOLLANDSWORTH MD
Practice Location Address:

20306 BADGER LANE
ONLEY, VA
23418

Practice Phone: 757-787-7374
Practice Fax: 757-787-4513

1003894262 — HEATHER STARK MD
Practice Location Address:

20306 BADGER LANE
ONLEY, VA
23418

Practice Phone: 757-787-7374
Practice Fax: 757-787-4513

Directions to “ JUDITH WICKLUND NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.