Individual
ASHLEY NICOLE WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
550 REDMOND RD NW, SUITE A, ROME, GA 30165-1416
(706) 233-8506
(706) 233-8507
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN190699
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109683A
—
GA
Enumeration date
05/12/2011
Last updated
05/05/2020
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