Provider Demographics
NPI:1902594971
Name:WIKLER, JENNIFER (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WIKLER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8985 S PECOS RD STE 4A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7163
Mailing Address - Country:US
Mailing Address - Phone:702-433-1332
Mailing Address - Fax:702-589-2820
Practice Address - Street 1:8985 S PECOS RD STE 4A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7163
Practice Address - Country:US
Practice Address - Phone:702-433-1332
Practice Address - Fax:702-589-2820
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach