Wilborn, Asha Jenise

Wilborn, Asha Jenise is an individual health care provider with primary practice located at 1310 W Stewart Dr Ste 410 , Orange CA 92868-3855. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wilborn, Asha Jenise can be contacted via phone (714) 639-9401.

Contact Information

Primary practice address
1310 W Stewart Dr Ste 410 Orange CA 92868-3855
Phone: (714) 639-9401
Fax: (714) 639-4105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 625834 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 20529 California

Profile Details

NPI number 1548565740
LBN Legal business name Wilborn, Asha Jenise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Feb 27th, 2018 - about 6 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 1548565740 NPPES
California Other 20529 NURSE PRACTITIONER LICENSE NUMBER
California Other 69334 NURSE PRACTITIONER LICENSE NUMBER
California Other P01064753 NURSE PRACTITIONER LICENSE NUMBER
California Other 625834 NURSE PRACTITIONER LICENSE NUMBER
California Other 1912919804 NURSE PRACTITIONER LICENSE NUMBER

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