JACLYNN LEA LUBBERS CPNP
NPI 1609153485
Nurse Practitioner - Pediatrics in Holland, MI
Active since November 08, 2011
About Jaclynn Lea Lubbers Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYNN LEA LUBBERS CPNP (NPI 1609153485) is an individual pediatrics provider in Holland, Michigan, licensed in Michigan (4704197507) and active in the NPI registry since November 2011.
NPPES Registry Identity
NPI1609153485
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACLYNN LEA LUBBERSCredential: CPNP
Location Address926 WASHINGTON AVEHolland, MI 49423-7725
Mailing Address926 Washington AveHolland, MI 49423-7725 · (616) 393-0166 · Fax (616) 393-0167
Phone(616) 393-0166
Fax(616) 393-0167
Sole ProprietorNo
Enumeration DateNovember 8, 2011
✔ NPI 1609153485 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704197507
926 WASHINGTON AVE, Holland, MI 49423
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Pediatrics)
926 WASHINGTON AVE, BUILDING C
HOLLAND, MI 49423
HOLLAND, MI 49423
Social Worker (Clinical)
926 WASHINGTON AVE
HOLLAND, MI 49423
HOLLAND, MI 49423
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609153485, enumerated as an "individual" on November 08, 2011.
The provider is located at 926 WASHINGTON AVE HOLLAND, MI 49423 and the phone number is (616) 393-0166.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
