Healthcare Provider Details

I. General information

NPI: 1558078550
Provider Name (Legal Business Name): PAULA DENISE WILBANKS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ROBERTS RD STE 105
ASHEVILLE NC
28803-8631
US

IV. Provider business mailing address

16 TROUT LILY GLN
ASHEVILLE NC
28805-8825
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-1315
  • Fax: 828-277-1321
Mailing address:
  • Phone: 828-707-8636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2022057313
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: