IndividualActive
Jessica Kubiak
NPI 1932939840 · Gerontology Nurse Practitioner · Las Cruces, NM
Provider details
- NPI number
- 1932939840
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 79836 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3015 Memorial Ct
Las Cruces, NM 88011-9127
Phone: (575) 649-6991
Approximate (ZIP-level) locationGet directions
Mailing address
2050 E Wisconsin Ave Apt 622
Las Cruces, NM 88001-5385
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2025-06-20
- Certified
- 2025-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.