Jennie Marie Dubose, RN
Registered Nurse, General Practice in Ocala, FL. Individual provider (NPI-1).
NPI number1780256818
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1780256818
- Entity type
- Individual (NPI-1)
- Name
- Jennie Marie Dubose
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN9455519 | FL | Yes |
Practice location
2635 Ne 60th LnOcala, FL 34479-1848
Phone 352-207-3283
Mailing address
2635 Ne 60th LnOcala, FL 34479-1848
Phone 352-207-3283
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