Individual
MRS. JILL MICHELLE DUBRAVCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
710 N. BEAVER ST. #6, FLAGSTAFF, AZ 86001
(928) 527-4325
(928) 773-0756
Mailing address
710 N. BEAVER ST. #6, FLAGSTAFF, AZ 86001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP5128
AZ
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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