NPI 1366044901 · live from the CMS NPI Registry
Jibi Abraham, FNP-BC
Nurse Practitioner, Family in Lakeland, FL. National Provider Identifier 1366044901, active.
NPI record
| NPI | 1366044901 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 130 Pablo St, Lakeland, FL 33803 |
| Practice phone | 863-284-6800 |
| Mailing address | 1324 Lakeland Hills Blvd, Attn: Managed Care, Lakeland, FL 33805 |
| Enumerated | November 9, 2020 |
| Last updated | February 21, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | APRN11009308 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.