FRED KENNETH WILKERSON ARNP
NPI 1225020829
Nurse Practitioner in Orange Park, FL

Active since August 19, 2005
2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 421-2119 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred Kenneth Wilkerson Arnp NPPES

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

FRED KENNETH WILKERSON ARNP (NPI 1225020829) is an individual nurse practitioner in Orange Park, Florida, licensed in Florida (ARNP 9225617) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225020829
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameFRED KENNETH WILKERSONCredential: ARNP
Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148
Mailing AddressPo Box 861774Orlando, FL 32886-1774
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateJanuary 23, 2008
NPI 1225020829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · ARNP 9225617
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2001 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 2

Medicare ID-Type UnspecifiedG3792FL
Medicare PING3792ZFL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Physician Assistant (Surgical)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Dermatology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073

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 Fred Wilkerson's NPI number?

The NPI number for Fred Wilkerson is 1225020829. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Fred Wilkerson located?

Fred Wilkerson practices at 2001 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 421-2119.

What is Fred Wilkerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Fred Wilkerson was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.