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Individual

ADELINA NICOLE JAKUBA

Active
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Individual

ADELINA NICOLE JAKUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
147591
CT
363LF0000X
Family Nurse Practitioner
Primary
10960
CT
363LF0000X
Family Nurse Practitioner
PENDING
CT

Other

Enumeration date
05/17/2022
Last updated
10/31/2022
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