Individual
JACQUELINE CLUBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
433 E 8TH ST, PORT ANGELES, WA 98362-6219
(360) 565-0999
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61546589
WA
367A00000X
Advanced Practice Midwife
Primary
AP61546588
WA
367A00000X
Advanced Practice Midwife
RN261851
GA
Other
Enumeration date
02/22/2018
Last updated
06/05/2024
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