Individual provider · Type 1 NPI
Carlie Jeanette Wilkerson, P.A.
Surgical Physician Assistant · Santa Rosa, CA
NPI number
1376748095
Active
Practice location
990 Sonoma Ave Ste 20
Santa Rosa, CA 95404-4813
Fax (707) 525-8404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA19226 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1376748095
Carlie Jeanette Wilkerson, P.A.'s National Provider Identifier is 1376748095, issued on Jun 21, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 30, 2021.