Individual
CATHY WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
301 JACKSON AVE W, OXFORD, MS 38655-2154
(662) 234-6464
(662) 234-6433
Mailing address
PO BOX 187, HOULKA, MS 38850-0187
(662) 568-3316
(662) 568-3360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850403
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09521395
—
MS
Enumeration date
03/30/2010
Last updated
10/12/2015
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