DEBRA WILKERSON LPN - NPI 1003258567 - Licensed Practical Nurse in Waterloo, IL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Debra Wilkerson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA WILKERSON LPN (NPI 1003258567) is an individual licensed practical nurse in Waterloo, Illinois, licensed in Illinois (043.114994) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1003258567

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDEBRA WILKERSONCredential: LPN

Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1000

Mailing Address176 Edward StMarissa, IL 62257-3552 · (618) 975-5295 · Fax (618) 939-4181

Phone(618) 939-4444

Fax(618) 939-4181

Sole ProprietorYes

Enumeration DateJuly 25, 2013

✔ NPI 1003258567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.114994

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

988 N ILLINOIS ROUTE 3, Waterloo, IL 62298

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