Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADELINE MARIE WILKS, NP
Active Sole ProprietorMADELINE MARIE WILKS, NP is a Family Nurse Practitioner healthcare provider located in BLACK JACK, Missouri. NPI 1316578297 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLACK JACK, MO
Registration Details
- NPI Number
- 1316578297
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2020 (6.526831363999 yrs)
- Last Updated
- Jan 30, 2020
- License
-
2019024655 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5092 BRISTOL ROCK RDBLACK JACK, MO, 630337533Browse MO providers · Browse ZIP 63033
- Phone
- 3145328661
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.