Wilbanks, Natalie Ruth

Wilbanks, Natalie Ruth is an individual health care provider with primary practice located at 550 Sunset Trl , Jellico TN 37762-2343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilbanks, Natalie Ruth can be contacted via phone (423) 784-5771.

Contact Information

Primary practice address
550 Sunset Trl Jellico TN 37762-2343
Phone: (423) 784-5771
Fax: (423) 784-6185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1558 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1798 Tennessee

Profile Details

NPI number 1144558644
LBN Legal business name Wilbanks, Natalie Ruth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2009
Last updated Mar 7th, 2023 - 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 1144558644 NPPES
Tennessee Other 1798 STATE LICENSE
Tennessee Other 1558 STATE LICENSE
Tennessee MEDICAID 7100119880 STATE LICENSE
Tennessee MEDICAID 1518501 STATE LICENSE

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