Individual
MRS. JENNIFER LYNN WILBORN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2505 US HIGHWAY 431, MMCS ANESTHESIA, BOAZ, AL 35957-5908
(256) 840-3512
Mailing address
2580 BRUCE RD, BOAZ, AL 35957-5063
(256) 593-7614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-076095
AL
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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