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C. H. WILKINSON PHYSICIAN NETWORK NPI 1346567831


NPI Information

NPI: 1346567831
Provider Name: C. H. WILKINSON PHYSICIAN NETWORK

Doing Business As: THE CLINIC AT WALMART, STORE #75

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
3636 MONROE HWY
PINEVILLE, LA
ZIP 71360
Phone: (318) 641-3137
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C. H. WILKINSON PHYSICIAN NETWORK is a nurse practitioner in Pineville, LA. The provider is (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. C. H. WILKINSON PHYSICIAN NETWORK NPI is 1346567831. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Clinic At Walmart, Store #75.

The provider's business location address is:

3636 MONROE HWY
PINEVILLE, LA
ZIP 71360-127
Phone: (318) 641-3137

The provider's authorized official is Donna J Mikulecky .
The authorized official title is Ceo President and has the following contact phone number (713) 277-2202.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 4/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CF82MEDICARE PIN
21445266MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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