Individual provider · Type 1 NPI

Jagger Kubic

Family Nurse Practitioner · Jefferson City, TN

NPI number 1164351797 Active

Practice location

724 N College St
Jefferson City, TN 37760-1994

Call (865) 471-3425 Map

Mailing address

1646 Russell Ave
Jefferson City, TN 37760-2204

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X41476 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1164351797

Jagger Kubic's National Provider Identifier is 1164351797, issued on May 18, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jefferson City, TN. The record was last updated on May 18, 2026.