DEBRA WICKLIFFE NPI 1821285446

NPI Information

  • NPI: 1821285446
  • Provider Name: DEBRA WICKLIFFE
  • Classification: Contractor - 171W00000X
  • Entity Type: Individual
  • Address: 134 NW OLIVE GLN
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 965-2770

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NPI Details

Debra Wickliffe is a contractor in Lake City, FL. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. Debra Wickliffe NPI is 1821285446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

134 NW OLIVE GLN
LAKE CITY, FL
ZIP 32055-210
Phone: (386) 965-2770
Fax: (386) 754-2770

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractor6908802996FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16908802965MEDICAIDFLORIDA

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: 11/21/2025

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