Provider Demographics
NPI:1396143731
Name:DUBON, JUANITA HEATHER (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:JUANITA
Middle Name:HEATHER
Last Name:DUBON
Suffix:
Gender:F
Credentials:DNP, FNP-C
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Mailing Address - Street 1:CMR 479
Mailing Address - Street 2:BOX 455
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09263
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:795 E. SECOND STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:PAMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2007
Practice Address - Country:US
Practice Address - Phone:909-865-2565
Practice Address - Fax:909-865-2955
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA614784363LF0000X
CA95001480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily