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

Stefanie Lynn Wilkerson, RD, CSG, LD

Individual provider Registered Dietitian · NPI 1659638963

Stefanie Lynn Wilkerson, RD, CSG, LD is a Registered Dietitian in Longview, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

770 Dennard St
Longview, TX 75605-8295
Phone: (903) 220-8685
Fax: (903) 663-8764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT04780 (TX)

Record details

NPI number1659638963
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CSG , LD
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012

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