Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilkes Pediatric Clinic, PLLC

Organization Pediatrics Physician · NPI 1659487502

Wilkes Pediatric Clinic, PLLC provides Pediatrics Physician services in North Wilkesboro, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 W Park Dr
North Wilkesboro, NC 28659-3564
Phone: (336) 903-0147
Fax: (336) 903-1687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1659487502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Johnson — Practice Manager · (336) 903-0096
NPI enumeratedAugust 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1925 W Park Dr, North Wilkesboro, NC 28659-3564

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