Provider Demographics
NPI:1548070980
Name:WILKERSON, VALARIE LINN
Entity type:Individual
Prefix:MS
First Name:VALARIE
Middle Name:LINN
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 CEDAR VW
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6062
Mailing Address - Country:US
Mailing Address - Phone:580-560-0466
Mailing Address - Fax:
Practice Address - Street 1:1408 CEDAR VW
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6062
Practice Address - Country:US
Practice Address - Phone:580-560-0466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist