NPI 1003258567
Debra Wilkerson, LPN
Practice location
- Address
- 988 N Illinois Route 3, Waterloo, IL 62298-1000
- Phone
- (618) 939-4444
- Fax
- (618) 939-4181
- Mailing address
- 176 Edward St, Marissa, IL 62257-3552
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1003258567
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jul 2013
- Record last updated
- 25 Jul 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.