Individual
JESSICA BROOKE SUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18324
SC
363LF0000X
Family Nurse Practitioner
28997
TN
363LF0000X
Family Nurse Practitioner
APRN.CNP.0030763
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0030763
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436496
—
OH
05
—
Q069104
—
TN
Enumeration date
06/29/2013
Last updated
08/02/2023
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