Individual
ASHA JENISE WILBORN
Active
Individual
ASHA JENISE WILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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