Individual
MRS. MIRANDA AMMONS HILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5-4257 BASTOGNE DRIVE, FORT LIBERTY, NC 28310-0001
(910) 907-9066
Mailing address
603 BEAMAN STREET, CLINTON, NC 28328
(910) 590-3397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007164
NC
Other
Enumeration date
10/03/2014
Last updated
07/15/2024
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