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NPI Code Detail

MEDICARE: JULIE CHRISTIN JUBAK DNP,FNP-BC

MEDICARE: JULIE CHRISTIN JUBAK DNP,FNP-BC
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
1363L00000XNurse PractitionerA187826IA
2363L00000XNurse Practitioner08012OH
3363L00000XNurse PractitionerLG-0013605DE
4363L00000XNurse PractitionerAPRN11024118FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000354599OTHEROHANTHEM BCBS OF OHIO

General Provider Information

NPI Number : 1780792143
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE CHRISTIN JUBAK DNP,FNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3700 PARK EAST DR STE 450
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4318
Country : US
Telephone Number : 614-683-2342
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2006
Last Update Date : 02/05/2026

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