Individual provider Active NPI

Eronmwon Modupe Jubril, RN,BSN, MSN, FNP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1871069237
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131892 Issued in TX
Practice address
1203 Whispering Willow CT
Sugar Land, TX 77479-4013
Phone
(832) 274-6977
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131892 TX Primary

Addresses

Primary practice location

1203 Whispering Willow CT
Sugar Land, TX 77479-4013

Mailing address

1203 Whispering Willow CT
Sugar Land, TX 77479-4013
Phone (832) 274-6977

Other practice location 1

8109 Cullen Blvd
Houston, TX 77051
Phone (713) 734-1697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP131892TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1871069237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WHISPERING WILLOW CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794013",
            "telephone_number": "832-274-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WHISPERING WILLOW CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794013",
            "telephone_number": "832-274-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8109 Cullen Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77051",
            "country_code": "US",
            "telephone_number": "713-734-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUBRIL",
        "first_name": "ERONMWON",
        "middle_name": "MODUPE",
        "credential": "RN,BSN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.