MEDICARE: THE ACCESS COUTURE, PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1699634451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ACCESS COUTURE, PLLC

Provider Business Mailing Address
First Line	:	290 NW PEACOCK BLVD # 881627
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 NW PEACOCK BLVD # 881627
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2205
Country	:	US
Telephone Number	:	772-254-9911
Fax Number	:

Authorized Official
Title or Position	:	APRN/CEO
Name	:	JANA WILKINSON
Credential	:
Telephone Number	:	504-458-0748

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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