MEDICARE: ERICA JOUBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	CHW2-5193	NV
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1053903666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA JOUBERT

Provider Business Mailing Address
First Line	:	525 TECHNOLOGY CT STE 105
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-2181
Country	:	US
Telephone Number	:	951-686-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 VEGAS DR APT 2088
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-7763
Country	:	US
Telephone Number	:	702-842-0542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	10/16/2025

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Directions to “ ERICA JOUBERT ” Practice Location

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