Provider Demographics
NPI:1215230891
Name:WILKINS, JENNIFER STEPHENSON (PT, DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:STEPHENSON
Last Name:WILKINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 BISCAYNE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9428
Mailing Address - Country:US
Mailing Address - Phone:814-341-6607
Mailing Address - Fax:910-821-0161
Practice Address - Street 1:1721 ALLENS LN
Practice Address - Street 2:SUITE 101
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3661
Practice Address - Country:US
Practice Address - Phone:910-256-4442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12897225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist