Individual
JACQUELYNN ANN RUBSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
15049 SYLVIA DR, BROOKPARK, OH 44142-3056
(216) 513-0824
Mailing address
15049 SYLVIA DR, BROOKPARK, OH 44142-3056
(216) 513-0824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022601
OH
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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