Individual
KIMBERLY DAWN JUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
165 LEGRANDE AVE., CHARLOTTE COURT HOUSE, VA 23923
(434) 542-5560
Mailing address
PO BOX 470, CHARLOTTE COURT HOUSE, VA 23923-0470
(434) 542-5560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173126
VA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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