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

Rachael J Wilbanks, NPC

Individual provider Nurse Practitioner · NPI 1134523830

Rachael J Wilbanks, NPC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

969 Lakeland Drive St Dominic Palliative Care
Jackson, MS 39216
Phone: (601) 200-5900
Fax: (601) 200-0204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 884972 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence F0814571 (MS)

Record details

NPI number1134523830
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPC
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson