person
Mrs. Denise Blair Wilburn
Family Nurse Practitioner in Jeffersonville, Indiana
NPI 1417984758

Denise Blair Wilburn is a Family Nurse Practitioner based in Charlestown, IN and is specialized in Family. Denise Blair Wilburn practices in Jeffersonville, IN. The NPI Number for Denise Blair Wilburn is 1417984758 and holds a License No. 3004516 (Indiana).

The current practice location address for Denise Blair Wilburn is 1802 E 10Th St, Jeffersonville, IN and can be reached out via phone at 812-288-2488 and via fax at 770-573-9513.

Location: 1802 E 10Th St, Jeffersonville, IN, 47111-9535
person
Provider Profile Details
NPI Number
1417984758
Provider Name
Denise Blair Wilburn
Credential
Provider Entity Type
Individual
Gender
Female
Address
1802 E 10Th St, Jeffersonville, IN, 47111-9535
Phone Number
812-288-2488
Fax Number
770-573-9513
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71001728A 01 IN LICENSE NUMBER
4526P 01 KY ARNP LICENSE
3004516 01 KY LICENSE NUMBER
K156040 01 KY MEDICARE PTAN
1105450 01 KY RN LICENSE
institution
Provider Business Practice Location Address Details
Address
1802 E 10Th St
City
State
Zip
47130-6016
Phone Number
812-288-2488
Fax Number
770-573-9513
person
Provider Business Mailing Address Details
Address
1802 E 10Th St
City
State
Zip
47130-6016
Phone Number
812-288-2488
Fax Number
770-573-9513
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
4516P (Kentucky)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3004516 (Kentucky)
Definition
Definition to come...
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