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KANDACE WILKERSON
NPI 1104301456
Licensed Vocational Nurse in Odessa, TX

Active since October 02, 2018
3805 E EVERGLADE AVE, ODESSA, TX 79762(432) 703-3450 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kandace Wilkerson NPPES

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

KANDACE WILKERSON (NPI 1104301456) is an individual licensed vocational nurse in Odessa, Texas, licensed in Texas (344724) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1104301456
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKANDACE WILKERSON
Location Address3805 E EVERGLADE AVEOdessa, TX 79762-7048
Mailing Address3805 E Everglade AveOdessa, TX 79762-7048
Phone(432) 703-3450
Sole ProprietorNo
Enumeration DateOctober 2, 2018
✔ NPI 1104301456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 344724
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
3805 E EVERGLADE AVE, Odessa, TX 79762
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandace Wilkerson's NPI number?

The NPI number for Kandace Wilkerson is 1104301456. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Kandace Wilkerson located?

Kandace Wilkerson practices at 3805 E Everglade Ave, Odessa, TX 79762. The listed phone number is (432) 703-3450.

What is Kandace Wilkerson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kandace Wilkerson was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.