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Individual

MRS. NICOLE DENISE WILBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2272 N MAIN ST, CROWN POINT, IN 46307-1802
(219) 661-5601
Mailing address
2272 N MAIN ST, CROWN POINT, IN 46307-1802

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28186244
IN
363LF0000X
Family Nurse Practitioner
1224099
TX
363LF0000X
Family Nurse Practitioner
Primary
71009387A
IN

Other

Enumeration date
07/19/2019
Last updated
02/10/2026
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