Jacklyn Danise Wilkes
NPI #1609410877 in Purvis, Mississippi
Provider Information
- NPI Number
- 1609410877
- Entity Type
- Individual
- Name
- Jacklyn Danise Wilkes
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Oct 31, 2019
- Last Updated
- Oct 31, 2019
Practice Location
- Address
- 744 CORINTH RD
- City
- Purvis
- State
- Mississippi
- ZIP Code
- 39475-4450
- Phone
- (601) 731-4567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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Organizations
| Provider Name | |
|---|---|
| Superior Healthcare Services |
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