Provider Demographics
NPI:1386747426
Name:WILKINSON, DANA ELAINE (NP)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ELAINE
Last Name:WILKINSON
Suffix:
Gender:
Credentials:NP
Other - Prefix:MRS
Other - First Name:DANA
Other - Middle Name:WILKINSON
Other - Last Name:MULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:P.O. BOX 1209
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031
Mailing Address - Country:US
Mailing Address - Phone:704-766-1000
Mailing Address - Fax:704-766-1002
Practice Address - Street 1:1307 W WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8117
Practice Address - Country:US
Practice Address - Phone:336-832-3110
Practice Address - Fax:336-832-3111
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC940065363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner