NPI 1366596512 · live from the CMS NPI Registry
Jane A Sublette
Nurse Practitioner, Obstetrics & Gynecology in Ft Wainwright, AK. National Provider Identifier 1366596512, active.
NPI record
| NPI | 1366596512 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 1060 Gaffney Rd Ste 7440, Commander Usa Meddac Ak Mcuc Mmd Attn Credentials, Ft Wainwright, AK 99703 |
| Practice phone | 907-353-5418 |
| Enumerated | January 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 209003940 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.