MEDICARE: MRS. ANNA KATE WILBANKS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	908384	MS

General Provider Information

NPI Number	:	1174455075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNA KATE WILBANKS FNP-C

Provider Business Mailing Address
First Line	:	366 COUNTY ROAD 512
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-8141
Country	:	US
Telephone Number	:	662-415-0915
Fax Number	:

Provider Business Practice Location Address
First Line	:	1771 CURTIS DR
Second Line	:
City	:	IUKA
State	:	MS
Zip	:	38852-1001
Country	:	US
Telephone Number	:	662-423-6014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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