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NPI Code Detail

MEDICARE: MRS. REGINA DAWN WILKERSON APRN

MEDICARE: MRS. REGINA DAWN WILKERSON APRN
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
1363LG0600XGerontology Nurse Practitioner3010183KY
2363LA2100XAcute Care Nurse Practitioner3010183KY

General Provider Information

NPI Number : 1346606860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REGINA DAWN WILKERSON APRN
Provider Business Mailing Address
First Line : 67 LAKEVIEW DR
Second Line :
City : PADUCAH
State : KY
Zip : 42001-5619
Country : US
Telephone Number : 270-554-8373
Fax Number : 270-554-8987
Provider Business Practice Location Address
First Line : 67 LAKEVIEW DR
Second Line :
City : PADUCAH
State : KY
Zip : 42001-5619
Country : US
Telephone Number : 270-554-8373
Fax Number : 270-554-8987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 02/05/2026

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