TABITHA ARIEL DUDAK APRN NPI 1124831110

NPI Information

  • NPI: 1124831110
  • Provider Name: TABITHA ARIEL DUDAK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3889 MILITARY TRL STE 103
    JUPITER, FL
    ZIP 33458
  • Phone: (561) 468-2370

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NPI Details

Tabitha Ariel Dudak, APRN is a family nurse practitioner in Jupiter, FL with 2 years of experience. Tabitha Ariel Dudak, APRN NPI is 1124831110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3889 MILITARY TRL STE 103
JUPITER, FL
ZIP 33458-923
Phone: (561) 468-2370
Fax: (561) 566-1884

The NPI 1124831110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2025 and was last updated on 1/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN9588323FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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