Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP2993262 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP2993262 | FL |
NPI | 1568732014 |
---|---|
Provider Name | Mrs. Jingle Cabansay |
First Address | Miami, FL 33156-7397 |
Second Address | Miami, FL 33133-4253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2011 |
Last Update Date | 02/12/2018 |