Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Betti Raydeen Wilburn

Individual provider Family Nurse Practitioner · NPI 1114386307

Betti Raydeen Wilburn is a Family Nurse Practitioner in Roswell, Georgia. Practices as a sole proprietor and works from 3 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone: (888) 731-8994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3636 S Geyer Rd Ste 100, Saint Louis, MO 63127-1237 — (888) 731-8994
  • 139 Centre St Ph 120, New York, NY 10013-4559 — (888) 731-8994

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN146147 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN147136 (GA)

Record details

NPI number1114386307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2016
Last updated in NPPESDecember 8, 2024
Certification dateDecember 8, 2024
Mailing address900 Old Roswell Lakes Pkwy Ste 310, Roswell, GA 30076-8667

Other providers in Roswell