Provider Demographics
NPI:1679548630
Name:WILKINS, DARLENE WHITAKER (MED RN, CDE)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:WHITAKER
Last Name:WILKINS
Suffix:
Gender:F
Credentials:MED RN, CDE
Other - Prefix:MISS
Other - First Name:LUCY
Other - Middle Name:DARLENE
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4020 WAKE FOREST RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6866
Mailing Address - Country:US
Mailing Address - Phone:919-571-6465
Mailing Address - Fax:919-571-6455
Practice Address - Street 1:4020 WAKE FOREST RD
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6866
Practice Address - Country:US
Practice Address - Phone:919-571-6465
Practice Address - Fax:919-571-6455
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC051395163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse