Individual provider · NPI-1

Jibi Abraham, FNP-BC

Nurse Practitioner, Family · Lakeland, FL

NPI number1366044901
StatusActive
Last updated in NPPESFeb 21, 2024

Details

NPI
1366044901
Entity type
Individual (NPI-1)
Name
Mrs. Jibi Abraham
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 9, 2020
Certification date
Feb 21, 2024
Last updated
Feb 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11009308FLYes

Practice location

130 Pablo St
Lakeland, FL 33803-3818

Phone 863-284-6800

Mailing address

1324 Lakeland Hills Blvd
Attn: Managed Care
Lakeland, FL 33805-3818

Phone 863-687-1100

Other practice locations

4710 S Florida Ave
Lakeland, FL 33813-2165

Phone 863-687-1100

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