Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00667800 | NJ |
NPI | 1003358128 |
---|---|
Provider Name | Kimberly Jobes |
First Address | Manahawkin, NJ 08050-3021 |
Second Address | Forked River, NJ 08731-4654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2016 |
Last Update Date | 18/04/2018 |