Individual
KATIE LIANNE JUBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6153
(318) 675-8081
Mailing address
1501 KINGS HWY, PO BOX 33932, SHREVEPORT, LA 71103-4228
(318) 675-6153
(318) 675-8081
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
AP144824
TX
363L00000X
Nurse Practitioner
Primary
21224
LA
Other
Enumeration date
01/28/2020
Last updated
07/23/2025
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