Tyra G Wilkerson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

8015 Parker School Rd
Suite 160
Jacksonville, FL 32211-5172

Phone

(904) 858-1963

Fax

(904) 858-1455

NPI assigned

Mar 11, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1205006756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078030",
            "telephone_number": "904-448-4700",
            "fax_number": "904-448-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 PARKER SCHOOL RD",
            "address_2": "SUITE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115172",
            "telephone_number": "904-858-1963",
            "fax_number": "904-858-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "TYRA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Wilkerson
• Joya Wilkerson, MSW
• Lavander Ronell Wilkerson Jr., PT
• Mahalia Angela Wilkerson
• Teyona Wilkerson
• Zachary Wilkerson, D.O.
• Dezirea Wilkes
• Jessica Wilkes, B.A.
• Nikita Louise Wilkes, M.D.
• Stephanie Wilkes

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.