Wilburn, Denise Blair

Wilburn, Denise Blair is an individual health care provider with primary practice located at 1802 E 10Th St , Jeffersonville IN 47130-6016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Addiction Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilburn, Denise Blair can be contacted via phone (812) 288-2488.

Contact Information

Primary practice address
1802 E 10Th St Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (770) 573-9513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004516 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4516P Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 71001728A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001728A Indiana

Profile Details

NPI number 1417984758
LBN Legal business name Wilburn, Denise Blair
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 8th, 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 1417984758 NPPES
Indiana Other 71001728A LICENSE NUMBER
Indiana Other 4526P LICENSE NUMBER
Indiana Other 3004516 LICENSE NUMBER
Indiana Other K156040 LICENSE NUMBER
Indiana Other 1105450 LICENSE NUMBER

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