| Amanda Christine Wilbourn, FNP | |
|
100 Market Place Blvd Ste 200, Cartersville, GA 30121-8716 | |
| (770) 386-7253 | |
| (678) 581-7179 |
| Full Name | Amanda Christine Wilbourn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 Market Place Blvd Ste 200, Cartersville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619791381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN230090 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN230090 (Georgia) | Primary |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Christine Wilbourn, FNP 6 Melhana Dr Se, Cartersville, GA 30120-8232 Ph: () - | Amanda Christine Wilbourn, FNP 100 Market Place Blvd Ste 200, Cartersville, GA 30121-8716 Ph: (770) 386-7253 |
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 470-490-2142 | |
Mrs. Jessica Perri Lay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128 | |
Sandra Beverley Burrell-spence, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6510 Fax: 470-490-6517 | |
Sandy Menard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 W Main St, Cartersville, GA 30120 Phone: 678-719-3240 | |
Mrs. Jacqueline Reid, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Pointe North Dr, Cartersville, GA 30120 Phone: 678-721-0705 Fax: 678-721-5116 | |
Lisa Arvind Patel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7470 Fax: 770-386-7910 | |
Ms. Lourdes Cristina Irizar, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-0029 |