Individual
MOLLY JUBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
16515 S 40TH ST STE 119, PHOENIX, AZ 85048-0559
(480) 272-8450
Mailing address
16515 S 40TH ST STE 119, PHOENIX, AZ 85048-0559
(480) 272-8450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
265320
AZ
Other
Enumeration date
12/18/2023
Last updated
05/01/2024
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