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NPI Code Detail

MEDICARE: MRS. PATRICIA JUBRECZKI ARNP

MEDICARE: MRS. PATRICIA JUBRECZKI ARNP
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 PractitionerRN9320989FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861922411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA JUBRECZKI ARNP
Provider Business Mailing Address
First Line : 1724 BANYAN CREEK CT
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-4627
Country : US
Telephone Number : 561-721-5726
Fax Number :
Provider Business Practice Location Address
First Line : 5401 S CONGRESS AVE STE 102
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-6636
Country : US
Telephone Number : 561-967-5033
Fax Number : 561-649-1409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 06/15/2017

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Directions to “ MRS. PATRICIA JUBRECZKI ARNP” Practice Location

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