Individual
JACQUELINE W KABUKURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6554 AARON ARONOV DR, FAIRFIELD, AL 35064-1823
(205) 786-5022
(205) 786-5028
Mailing address
6554 AARON ARONOV DR, FAIRFIELD, AL 35064-1823
(205) 786-5022
(205) 786-5028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-125255
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261Q00000X.
TAXONOMY
AL
Enumeration date
10/07/2014
Last updated
10/07/2014
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