Individual provider · Type 1 NPI
Jacklyn Danise Wilkes
Student in an Organized Health Care Education/Training Program · Purvis, MS
NPI number
1609410877
Active
Practice location
744 Corinth Rd
Purvis, MS 39475-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Purvis
About NPI 1609410877
Jacklyn Danise Wilkes's National Provider Identifier is 1609410877, issued on Oct 31, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Purvis, MS. The record was last updated on Oct 31, 2019.