IndividualActive
Jessica Klube, CCP
NPI 1699488361 · Perfusionist · Phoenix, AZ
Provider details
- NPI number
- 1699488361
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Female
- Sole proprietor
- No
Mailing address
16535 Old Frederick Rd
Mount Airy, MD 21771-3345
Registry dates
- Enumerated
- 2022-12-27
- Last updated
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.