| NPI | 1861869703 |
|---|---|
| Former Name | JACKLINE B TABE -AYUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 839166) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-78727-072) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402559) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60741863) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343912) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11018101) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9142) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2025-10-13 |