Wilburn, Jo E

Wilburn, Jo E is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wilburn, Jo E can be contacted via phone (502) 259-5391.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 259-5391
Fax: (502) 259-9733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1718A Kentucky

Profile Details

NPI number 1891796348
LBN Legal business name Wilburn, Jo E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 16th, 2012 - about 12 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 1891796348 NPPES
Kentucky MEDICAID 74428913
Kentucky MEDICAID 100003500A

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