Individual
ASHA JENISE WILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
(714) 639-4105
Mailing address
12900 PARK PLAZA DRIVE STE 150, CERRITOS, CA 90703
(562) 282-4027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
625834
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
20529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
TYPE 2 NPI
—
01
—
20529
NURSE PRACTITIONER LICENSE NUMBER
CA
01
—
625834
RN LICENSE NUMBER
CA
01
—
69334
PUBLIC HEALTH NURSE LICENSE NUMBER
CA
01
—
P01064753
RAILROAD MEDICARE
CA
Enumeration date
01/19/2011
Last updated
02/27/2018
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