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Contact Information

JIBI ABRAHAM, FNP-BC
130 PABLO ST
LAKELAND, FL33803-3818
 Phone: 863-284-6800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JIBI ABRAHAM · (Female)

NPI # 1366044901
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/09/2020
Last updated 02/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # APRN11009308
Hospital affiliation(s)
  • LAKELAND REGIONAL MEDICAL CENTER - (Acute Care)
    1324 LAKELAND HILLS BLVD
    LAKELAND, FL 33805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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