Provider Demographics
NPI:1306434808
Name:WILKERSON, KAYLA THERESE (DNP, FNP-BC, RN)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:THERESE
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:DNP, FNP-BC, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21 COTTAGE WOODS CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9361
Mailing Address - Country:US
Mailing Address - Phone:517-945-4620
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-6484
Practice Address - Fax:919-966-7942
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5013955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily