Doctor Name: | MRS. REUBINA JEANLOUIS HIBBERT |
NPI Number: | 1720318728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2055392 |
Business Practice Address: | 1120 Pinellas Bayway S Suite 200 Tierra Verde, FL - 337151543 |
Business Phone Number: | 7278675480 |
Business Fax Number: | 7278675470 |
Mailing Address: | Po Box 530968, ST PETERSBURG |
State: | FL |
Postal Code: | 337470968 |
Phone Number: | 7278675480 |
Fax Number: | 7278675470 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 12/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP2055392 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |