Provider Demographics
NPI:1902154891
Name:WILKASON, JULIE C (APRN-RN)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:C
Last Name:WILKASON
Suffix:
Gender:F
Credentials:APRN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N 30TH ST
Mailing Address - Street 2:SUITE 5730
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-449-4692
Mailing Address - Fax:402-449-5926
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:SUITE 5730
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-449-4692
Practice Address - Fax:402-449-5926
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111406363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner