| Doctor Name: | JANICE F RUBBELKE |
| NPI Number: | 1043277221 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 656557 |
| Business Practice Address: | 601 E Southlake Blvd Suite 200 Southlake, TX - 760926251 |
| Business Phone Number: | 8174881956 |
| Business Fax Number: | 8174888675 |
| Mailing Address: | 1921 Preston Rd, Suite 2008 PLANO |
| State: | TX |
| Postal Code: | 750935124 |
| Phone Number: | 9723819300 |
| Fax Number: | 9723819301 |
| NPI Enumeration Date: | 04/29/2006 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 656557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |