Individual
MR. WILLIAM MATTHEW CLIBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(800) 223-6672
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5706
(601) 984-5733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902747
MS
Other
Enumeration date
07/23/2018
Last updated
09/06/2018
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