Samantha Anthonette Wilkerson, FNP
Nurse Practitioner, Family in Jesup, GA. Individual provider (NPI-1).
NPI number1053954677
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1053954677
- Entity type
- Individual (NPI-1)
- Name
- Samantha Anthonette Wilkerson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2019
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN111019366 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | F08190712 | GA |
Practice location
141 S Macon StJesup, GA 31545-1114
Phone 912-427-3202
Mailing address
141 S Macon StJesup, GA 31545-1114
Phone 912-427-3202
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All 25 Family Nurse Practitioner providers in Jesup · All 398 providers in Jesup
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