Wilkerson, Jessica Ann
Wilkerson, Jessica Ann is an individual health care provider with primary practice located at 1700 Nw Civic Dr Ste 310 , Gresham OR 97030-3774. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilkerson, Jessica Ann can be contacted via phone (503) 666-8832.Contact Information
Primary practice address
1700 Nw Civic Dr Ste 310
Gresham OR 97030-3774
Phone: (503) 666-8832
Fax: (503) 669-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP60196762 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201050138NP | Oregon |
Profile Details
| NPI number | 1376796987 |
|---|---|
| LBN Legal business name | Wilkerson, Jessica Ann |
| Credentials | APRN-NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Nov 18th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376796987 | NPPES |
| Oregon | MEDICAID | 123190 |
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