MICHELLE O WILBURN (NPI# 1992045538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992045538 |
Entity Type | Individual |
Full Name | MICHELLE O WILBURN |
Credential | NNP-BC |
Practice Address |
325 Provision Pkwy Brandon MS 39042-7912 |
Practice Telephone | 6016687242 |
Mailing Telephone | 6016687242 |
Enumeration Date | 2013-02-19 |
Last Update Date | 2013-06-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
R860590 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
325 PROVISION PKWY |
City | BRANDON |
State | MS |
Zip Code | 39042-7912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
Find all providers in zip 39042 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962818146 | The Newborn Associates, Pa | Nurse Practitioner | 5001 Mardy St., Wesley Medical Center, Hattiesburg, MS 39402 | 2014-07-08 |
1205076809 | Jennifer R Massey | Nurse Practitioner | 6049 U S Highway 49, Hattiesburg, MS 39402-2555 | 2009-02-23 |
1740319839 | Christa Staples | Nurse Practitioner | 910 Second St, Prentiss, MS 39474-9117 | 2007-03-05 |
1003834052 | Gail Beard | Nurse Practitioner | 1730 14th Street, Suite C, Meridian, MS 39301 | 2006-07-18 |
1790320729 | Mary Davis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-11-13 |
1265077200 | Brittany Nicole Harris | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-11-13 |
1205487238 | Ashley Harper Miles | Nurse Practitioner | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2019-09-20 |
1962939298 | Attiya Sinclair | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-05-17 |
1689040669 | Gabriel Lewis Macias | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-08-13 |
1952795387 | Jennifer Humphries | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-03-24 |
Find all providers with the same taxonomy |
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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.