Basic Information
Provider Information
NPI: 1396023990
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOUBERT
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 930 MARTIN LUTHER KING JR BLVD
Address2: SUITE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber:  
Practice Location
Address1: 930 MARTIN LUTHER KING JR BLVD
Address2: SUITE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/30/2011
LastUpdateDate: 08/04/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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