Provider Demographics
NPI:1093258600
Name:HUBERT, JENNIFER JULES (LCSW, BSN, RN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JULES
Last Name:HUBERT
Suffix:
Gender:F
Credentials:LCSW, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 N FREEWAY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1954
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:
Practice Address - Street 1:1725 N UNIVERSITY DR STE 350
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6000
Practice Address - Country:US
Practice Address - Phone:855-501-1004
Practice Address - Fax:866-468-0301
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL59-196-4034101Y00000X
FLSW187061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor