Wilbanks, Rachael J

Wilbanks, Rachael J is an individual health care provider with primary practice located at 969 Lakeland Drive St. Dominic Palliative Care, Jackson MS 39216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilbanks, Rachael J can be contacted via phone (601) 200-5900.

Contact Information

Primary practice address
969 Lakeland Drive St. Dominic Palliative Care Jackson MS 39216
Phone: (601) 200-5900
Fax: (601) 200-0204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F0814571 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 884972 Mississippi

Profile Details

NPI number 1134523830
LBN Legal business name Wilbanks, Rachael J
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2014
Last updated Apr 8th, 2024 - about 2 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 1134523830 NPPES
Mississippi Other 1V8513 MEDICARE (ST DOM)
Mississippi MEDICAID 02505821 MEDICARE (ST DOM)

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