Carol Michelle Wilburn, NNP-BC

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

860590 Issued in MS

Practice address

5 River Bend PL Ste C
Flowood, MS 39232-7618

Phone

(601) 957-7345

Fax

(769) 251-5429

NPI assigned

Feb 19, 2013

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Michelle Owen Wilburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newborn Associates P a

  • Neonatal-Perinatal Medicine Physician
  • Flowood, MS
  • NPI 1487784898
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1992045538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PROVISION PKWY",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390427912",
            "telephone_number": "601-668-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RIVER BEND PL STE C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327618",
            "telephone_number": "601-957-7345",
            "fax_number": "769-251-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "CAROL",
        "middle_name": "MICHELLE",
        "credential": "NNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MS",
            "license": "860590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WILBURN",
            "middle_name": "OWEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnnie Ausie Westerfield, FNP-BC
• Christopher Cockrum White, O.D.
• Lacey W Whittington, CRNA
• Karen Lynne Whitwer, CRNA
• Christopher D Wiggs, MD
• Blake Allen Wilhite, DPT
• Whitney Wilkins, FNP-C
• Charles H Williams, M.D.
• Christa Fuerst Williams, LPC
• Jane-Claire Boyd Williams, M.D.

• Critical Care Neonatal Nurse Practitioner in Flowood, MS
• Providers in Flowood, MS by specialty
• Critical Care Neonatal Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.