MRS. RAYMONA NICOLE WILBURN


Address: 900 Jerome St, Suite 102, Fort Worth, TX 76104-3945
Phone: 8179220800

MRS. RAYMONA NICOLE WILBURN (NPI# 1902232754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902232754
Entity Type Individual
Full Name MRS. RAYMONA NICOLE WILBURN
Credential PNP-BC
Practice Address 900 Jerome St
Suite 102
Fort Worth
TX 76104-3945
Mailing Address 2943 Alyson Way
Grand Prairie
TX 75052-0429
Practice Telephone 8179220800
Mailing Telephone 2547188968
Enumeration Date 2013-09-24
Last Update Date 2016-02-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
680143 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 900 JEROME ST
SUITE 102
City FORT WORTH
State TX
Zip Code 76104-3945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235353301 Robert Peak Dentist 900 Jerome St, Suite 140, Fort Worth, TX 76104-3945 2007-04-12
1124576715 Adenike Atanda Pharmacist 900 Jerome St, Suite 400, Fort Worth, TX 76104-3945 2016-09-13
1699132381 Stephen's Pedi & Pulmonary Practice, Pa Pediatrics 900 Jerome St, 102, Fort Worth, TX 76104-3945 2016-01-26
1962874552 Metroplex Urology and Transplant Surgery Pllc Specialist 900 Jerome St, Suite 304, Fort Worth, TX 76104-3945 2015-10-22
1972908309 Robert B, Peak, Dds, Pllc Clinic/Center 900 Jerome St, Suite 140, Fort Worth, TX 76104-3945 2014-10-28
1669807806 Olufunke Jaiyeola Pharmacist 900 Jerome St, Suite 100, Fort Worth, TX 76104-3937 2013-09-06
1386965234 Daniel Jetton Mcgilvray Family Medicine 900 Jerome St, Fort Worth, TX 76104-3945 2010-06-15
1366639742 Metroplex Pediatrics Pediatrics 900 Jerome St, Ste 102, Fort Worth, TX 76104-3945 2007-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770182636 Jenna Donlon Nurse Practitioner 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 2020-10-21
1023594009 Erica M Lucas Nurse Practitioner 800 8th Ave Ste 200, Fort Worth, TX 76104-2619 2018-07-13
1003280686 Susan Akberzie Nurse Practitioner 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 2015-11-19
1427489400 Brenda Bosch Nurse Practitioner 11807 Med Park Dr, Ste 365, Fort Worth, TX 76028-3509 2013-12-02
1447535463 Anamarina Jarecke Nurse Practitioner 5300 Buchanan St, Fort Worth, TX 76114-1304 2011-10-21
1770873077 Michelle Beatrice Oconnor Nurse Practitioner 6239 Granbury Rd, Fort Worth, TX 76133-3401 2011-04-08
1912208687 Andrea Madeliene Newman Nurse Practitioner 901 7th Ave Ste 120, Fort Worth, TX 76104-2724 2010-11-10
1629306709 Autumn Brianne Morris Nurse Practitioner 901 W Rosedale St, Fort Worth, TX 76104-4672 2009-11-30
1235466624 Courtney Shea Stewart Nurse Practitioner 5917 Yosemite Dr, Fort Worth, TX 76112-3938 2009-11-06
1548412018 Christie Ramirez Nurse Practitioner 8376 Mojave Trl, Fort Worth, TX 76116-3638 2008-10-16
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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