Provider Demographics
NPI:1073367454
Name:WHOLE HEALTH NURSING LLC
Entity Type:Organization
Organization Name:WHOLE HEALTH NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JUBECK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:602-428-0450
Mailing Address - Street 1:2820 S ALMA SCHOOL RD STE 18
Mailing Address - Street 2:PMB 2040
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-4394
Mailing Address - Country:US
Mailing Address - Phone:602-428-0450
Mailing Address - Fax:
Practice Address - Street 1:2820 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-4392
Practice Address - Country:US
Practice Address - Phone:602-428-0450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty