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General NPI Number Information
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NPI Number | 1174455075
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Entity Type | Individual
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Provider Name | ANNA KATE WILBANKS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1771 CURTIS DR
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City | IUKA
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State | MS
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Zip | 38852-1001
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Country | US
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Telephone | 662-423-6014
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Fax |
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Provider Business Mailing Address
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Address Line | 366 COUNTY ROAD 512
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City | CORINTH
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State | MS
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Zip | 38834-8141
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Country | US
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Telephone | 662-415-0915
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 908384
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License Number State | MS
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