Doctor Name: | ERIKA ASHLEY JUBINA |
NPI Number: | 1417354267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00535500 |
Business Practice Address: | 410 Route 34 Suite 212 Colts Neck, NJ - 077222518 |
Business Phone Number: | 7326830099 |
Business Fax Number: | |
Mailing Address: | 410 Route 34, Suite 212 COLTS NECK |
State: | NJ |
Postal Code: | 077222518 |
Phone Number: | 7326830099 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2014 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NJ00535500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |