Provider Demographics
NPI:1447870233
Name:WILKINSON, JENNIFER (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21108 CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1263
Mailing Address - Country:US
Mailing Address - Phone:609-831-4846
Mailing Address - Fax:609-710-0964
Practice Address - Street 1:21108 CEDAR CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08648-1263
Practice Address - Country:US
Practice Address - Phone:609-831-4846
Practice Address - Fax:609-710-0964
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4883522084P0800X
NJ25MA122466002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry