Shelly Jubrey

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

067888-23 Issued in NH

Practice address

22A Eastman Ave
Bedford, NH 03110

Phone

(603) 232-5421

Fax

(603) 206-7891

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1033762158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22A EASTMAN AVE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-232-5421",
            "fax_number": "603-206-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22A EASTMAN AVE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-232-5421",
            "fax_number": "603-206-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Black Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Goffstown",
            "state": "NH",
            "postal_code": "030452907",
            "country_code": "US",
            "telephone_number": "603-851-4256",
            "fax_number": "603-206-7891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUBREY",
        "first_name": "SHELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "067888-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "067888-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jordan, PA
• Kathryn Jorgensen, DMD
• Wane G Joselow, MD
• Shruti Joshi, M.S., LPC
• Catherine Therese Joyce, OTR/L
• Tsvetina Kamenova
• Samantha Leanne Kane, OTR/L
• Hannah Karamanoogian, LCMHC
• Kota Sadashiva Karanth, M.D.
• Brenda Michelle Karibian, FNP-BC

• Family Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.