Individual
DEBORAH MICHELLE WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1056 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 656-8545
(601) 656-3985
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00152
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04774800
—
MS
Enumeration date
07/15/2011
Last updated
05/20/2025
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