Individual
MS. JACQUELYNN MARIE KUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP,NP-C
Contact information
Practice address
12700 CREEKSIDE LN, SUITE 101, FORT MYERS, FL 33919-3356
(407) 797-8208
Mailing address
19149 MEADOWBROOK CT, FORT MYERS, FL 33903-6640
(407) 469-2749
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
714372
FL
Other
Enumeration date
11/27/2012
Last updated
03/04/2013
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