Provider Demographics
NPI:1548831423
Name:WILKERSON-HOLTON, RAMONA (APN26NJ14921700)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:WILKERSON-HOLTON
Suffix:
Gender:F
Credentials:APN26NJ14921700
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:WILKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN26NR19675000
Mailing Address - Street 1:42 TWIG LANE
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046
Mailing Address - Country:US
Mailing Address - Phone:201-706-1511
Mailing Address - Fax:
Practice Address - Street 1:774 EAYRESTOWN RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048
Practice Address - Country:US
Practice Address - Phone:201-706-1511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR19675000163W00000X
NJ26NJ14921700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse