Provider Demographics
NPI:1609112440
Name:CUBITT, JENNIFER NELMS (RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:NELMS
Last Name:CUBITT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2732
Mailing Address - Country:US
Mailing Address - Phone:864-594-4470
Mailing Address - Fax:
Practice Address - Street 1:698 HOWARD STREET
Practice Address - Street 2:SPARTANBURG SCHOOL DISTRICT 7
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303
Practice Address - Country:US
Practice Address - Phone:864-594-4470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC68299163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool