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NPI Code Detail

MEDICARE: JENICE ANGELLE DUBARD RN

MEDICARE: JENICE ANGELLE DUBARD RN
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
1163W00000XRegistered Nurse926022MS

General Provider Information

NPI Number : 1740126747
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENICE ANGELLE DUBARD RN
Provider Business Mailing Address
First Line : 8708 TECHNOLOGY FOREST PL STE 175
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-1183
Country : US
Telephone Number : 903-307-7934
Fax Number : 903-213-9041
Provider Business Practice Location Address
First Line : 8708 TECHNOLOGY FOREST PL STE 175
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-1183
Country : US
Telephone Number : 903-307-7934
Fax Number : 903-213-9041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ JENICE ANGELLE DUBARD RN” Practice Location

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