Individual
PAMELA JUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8259
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN290551L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1846000001
TRICARE
PA
Enumeration date
05/28/2006
Last updated
07/21/2022
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