Individual
AMANDA CHRISTINE WILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 MARKET PLACE BLVD STE 200, CARTERSVILLE, GA 30121-8716
(770) 386-7253
(678) 581-7179
Mailing address
6 MELHANA DR SE, CARTERSVILLE, GA 30120-8232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-NP230090
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP230090
GA
Other
Enumeration date
11/11/2024
Last updated
10/14/2025
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