Wilkerson, Tracey Lynn

Wilkerson, Tracey Lynn is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilkerson, Tracey Lynn can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-6822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F309789 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704217231 Michigan

Profile Details

NPI number 1043417132
LBN Legal business name Wilkerson, Tracey Lynn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Mar 19th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043417132 NPPES
Michigan Other P00753676 RRMEDICARE
Michigan MEDICAID 1043417132 RRMEDICARE
Michigan Other 12065154 RRMEDICARE

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