Individual
MRS. JUDITH ANN TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
211 NE 54TH ST, SUITE 201, KANSAS CITY, MO 64118-4390
(816) 453-6777
(816) 454-3601
Mailing address
211 NE 54TH ST, SUITE 201, KANSAS CITY, MO 64118-4390
(816) 453-6777
(816) 454-3601
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2012013016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01160777
MEDICARE RR
MO
Enumeration date
06/17/2009
Last updated
04/01/2014
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