Individual provider · Type 1 NPI
Jessica Marie Kubiak
Gerontology Nurse Practitioner · Las Cruces, NM
NPI number
1932939840
Active
Practice location
3015 Memorial Ct
Las Cruces, NM 88011-9127
Mailing address
2050 E Wisconsin Ave Apt 622
Las Cruces, NM 88001-5385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 79836 (NM) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1932939840
Jessica Marie Kubiak's National Provider Identifier is 1932939840, issued on Aug 5, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Las Cruces, NM. The record was last updated on Jun 20, 2025.