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NPI Code Detail

MEDICARE: MICHELLE WILKINSON PAC

MEDICARE: MICHELLE WILKINSON PAC
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
1363A00000XPhysician AssistantPA9118032FL
2363A00000XPhysician AssistantPA11298TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790728368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE WILKINSON PAC
Provider Business Mailing Address
First Line : 220 ATHENS WAY STE 240
Second Line :
City : NASHVILLE
State : TN
Zip : 37228-1311
Country : US
Telephone Number : 833-208-7770
Fax Number :
Provider Business Practice Location Address
First Line : 3200 SOUTHWEST FWY STE 2100
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7525
Country : US
Telephone Number : 833-208-7770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 04/12/2024

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Directions to “ MICHELLE WILKINSON PAC” Practice Location

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