Individual
CAROL MICHELLE WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
5 RIVER BEND PL STE C, FLOWOOD, MS 39232-7618
(601) 957-7345
(769) 251-5429
Mailing address
325 PROVISION PKWY, BRANDON, MS 39042-7912
(601) 668-7242
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
860590
MS
Other
Enumeration date
02/19/2013
Last updated
02/20/2025
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