Katie Lianne Jubala
Nurse Practitioner Family Doctor - Adult Medicine
1501 Kings Hwy
Shreveport
, Louisiana 71103-4228
Katie Lianne Jubala
Nurse Practitioner Family Doctor - Adult Medicine
1501 Kings Hwy
Shreveport
, Louisiana 71103-4228
(909) 645-5684
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Katie Lianne Jubala
- 1049 Spanish Moss Cir
- Bossier City, LA
- Zip : 71111-6417
- Phone : (909) 645-5684
Second Address
- Katie Lianne Jubala
- 1501 Kings Hwy
- Shreveport, LA
- Zip : 71103-4228
- Fax : (318) 675-8081
- Phone : (318) 675-6153
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | AP144824 | TX |
| Y | 363L00000X | Nurse Practitioner | 21224 | LA |
National Provider Identifier
| NPI | 1063043271 |
|---|---|
| Provider Name | Katie Lianne Jubala |
| First Address | Bossier City, LA 71111-6417 |
| Second Address | Shreveport, LA 71103-4228 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2020 |
| Last Update Date | 21/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.