Wilbanks, Carol Jo

Wilbanks, Carol Jo is an individual health care provider with primary practice located at 2501 Citico Ave , Chattanooga TN 37404-1127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wilbanks, Carol Jo can be contacted via phone (423) 697-2000.

Contact Information

Primary practice address
2501 Citico Ave Chattanooga TN 37404-1127
Phone: (423) 697-2000
Fax: (423) 697-2320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000027836 Tennessee

Profile Details

NPI number 1952913808
LBN Legal business name Wilbanks, Carol Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2020
Last updated Aug 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952913808 NPPES
Tennessee Other 27836 TN APN LICENSE

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