DUANE LEE WILCOX (NPI# 1356836233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356836233 |
| Entity Type | Individual |
| Full Name | DUANE LEE WILCOX |
| Credential | NP |
| Practice Address |
8708 N Shore Dr Clarklake MI 49234-9794 |
| Practice Telephone | 5175293151 |
| Mailing Telephone | 5175293151 |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704262470 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8708 N SHORE DR |
| City | CLARKLAKE |
| State | MI |
| Zip Code | 49234-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245553122 | Marcia Ann Garrison | Respite Care | 2339 Jefferson Rd., Clarklake, MI 49234 | 2010-03-08 |
| 1144745944 | Amanda Belcher | Home Health | 307 Goldsmith Dr, Clarklake, MI 49234-5705 | 2017-08-14 |
| 1588975320 | Jacquelynn S Johnson | Social Worker | 10635 Ocean Beach Rd, Clarklake, MI 49234-9010 | 2010-06-26 |
| 1952725137 | Donna Richardson | Social Worker | 4431 N Lake Rd, Clarklake, MI 49234-9694 | 2014-02-10 |
| 1114924222 | Logan E Hyatt | Physician Assistant | 8691 Clarklake Rd, #600, Clarklake, MI 49234-9709 | 2005-07-05 |
| 1598892366 | Robert M Snyder Jr. | Clinical Neuropsychologist | 4136 Florida Ave, Clarklake, MI 49234-9731 | 2007-02-27 |
| 1164819561 | Judy Bivins | Licensed Practical Nurse | 10515 Hayes Rd, Clarklake, MI 49234-9748 | 2015-04-23 |
| 1457780157 | Melissa Howington | Dental Hygienist | 8312 Clarklake Rd, Clarklake, MI 49234-9765 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144745944 | Amanda Belcher | Home Health | 307 Goldsmith Dr, Clarklake, MI 49234-5705 | 2017-08-14 |
| 1164819561 | Judy Bivins | Licensed Practical Nurse | 10515 Hayes Rd, Clarklake, MI 49234-9748 | 2015-04-23 |
| 1952725137 | Donna Richardson | Social Worker | 4431 N Lake Rd, Clarklake, MI 49234-9694 | 2014-02-10 |
| 1457780157 | Melissa Howington | Dental Hygienist | 8312 Clarklake Rd, Clarklake, MI 49234-9765 | 2013-11-04 |
| 1588975320 | Jacquelynn S Johnson | Social Worker | 10635 Ocean Beach Rd, Clarklake, MI 49234-9010 | 2010-06-26 |
| 1245553122 | Marcia Ann Garrison | Respite Care | 2339 Jefferson Rd., Clarklake, MI 49234 | 2010-03-08 |
| 1598892366 | Robert M Snyder Jr. | Clinical Neuropsychologist | 4136 Florida Ave, Clarklake, MI 49234-9731 | 2007-02-27 |
| 1114924222 | Logan E Hyatt | Physician Assistant | 8691 Clarklake Rd, #600, Clarklake, MI 49234-9709 | 2005-07-05 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DUANE LEE WILCOX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.