Jessica a. Wilks, Rd, LDN, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ND 6950 Issued in FL

Legal business name

JESSICA A. WILKS, RD, LDN, INC.

Practice address

2030 SE Ocean Blvd
Stuart, FL 34996-3304

Phone

(772) 626-4484

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Jessica Wilks, R.D., LDN

Title

Owner/President

Phone

(772) 626-4484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1528473089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 SE MORNINGSIDE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528818",
            "telephone_number": "772-626-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-626-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA A. WILKS, RD, LDN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-626-4484",
        "authorized_official_credential": "R.D., LDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ND 6950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Jenkins
• Tracey Jenkins, ARNP
• Veronica Denise Jenkins, RBT
• Stephanie Jensen, D.M.D.
• Aughustina Michhele Jervier
• Pamela A Jett, MSW/LCSW
• Sui Jiang
• Jocquet Jiles
• Jill Herman Nelson, PA
• Alexis Antonio Jimenez Quintero

• Health Service Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.