IndividualActive
Debra Wilkerson, LPN
NPI 1003258567 · Licensed Practical Nurse · Waterloo, IL
Provider details
- NPI number
- 1003258567
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 043.114994 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1000
Phone: (618) 939-4444
Fax: (618) 939-4181
Approximate (ZIP-level) locationGet directions
Mailing address
176 Edward St
Marissa, IL 62257-3552
Registry dates
- Enumerated
- 2013-07-25
- Last updated
- 2013-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.