| Doctor Name: | MRS. JENNIFER BROOKE WILKES |
| NPI Number: | 1164481313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O |
| License Number: | 20A 7448 |
| Business Practice Address: | 27555 Ynez Road Suite# 350 Tower Office Plaza Temecula, CA - 92591 |
| Business Phone Number: | 8773803035 |
| Business Fax Number: | |
| Mailing Address: | 1594 Sycamore Dr, FALLBROOK |
| State: | CA |
| Postal Code: | 920288224 |
| Phone Number: | 7607232322 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 05/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/17/2007 |
| NPI Reactivation Date: | 05/28/2015 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A 7448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |