| Doctor Name: | MRS. CHANEL JANES WILKINSON |
| NPI Number: | 1932104916 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 644294 |
| Business Practice Address: | 32665 Hwy281 N, Ste 100 Bulverde, TX - 78163 |
| Business Phone Number: | 8309808433 |
| Business Fax Number: | 8309808442 |
| Mailing Address: | 32665 Hwy281 N, Ste 100, BULVERDE |
| State: | TX |
| Postal Code: | 78163 |
| Phone Number: | 8309808433 |
| Fax Number: | 8309808442 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 644294 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |