Individual
ANGELA MARIE JABARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 641-6053
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 641-6053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-79936-111
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
53-79936-111
KS
Other
Enumeration date
02/06/2021
Last updated
07/06/2022
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