Wilkerson, Carlie Jeanette

Wilkerson, Carlie Jeanette is an individual health care provider with primary practice located at 990 Sonoma Ave Ste 20 , Santa Rosa CA 95404-4813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Wilkerson, Carlie Jeanette can be contacted via phone (707) 525-0696.

Contact Information

Primary practice address
990 Sonoma Ave Ste 20 Santa Rosa CA 95404-4813
Phone: (707) 525-0696
Fax: (707) 525-8404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA19226 California

Profile Details

NPI number 1376748095
LBN Legal business name Wilkerson, Carlie Jeanette
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Dec 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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