Individual
JASMINE MONAE TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
875 PETAL WAY, FORT WAYNE, IN 46816-8900
(260) 249-3516
Mailing address
875 PETAL WAY, FORT WAYNE, IN 46816-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02201067
IN
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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