Most Relevant Information
Provider Data
| NPI Number: | 1003452418 |
| Provider Name: | CHEZA MARIE WILKINSON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11003630 |
Most Important Dates
| Enumeration Date: | 11/20/2019 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
1600 LAKELAND HILLS BLVD
LAKELAND
FL
338053065
Practice Location Phone/Fax
| Phone: | 8636807490 |
| Fax: | 8662648519 |
Provider Mailing Location
2849 JENNIFER DR
LAKELAND
FL
338105107
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |