Kelly Jo Hubbard APN

NPI 1780990408 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1780990408
Gender Female
Enumeration Date 08/19/2010
Last Updated 08/08/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
9755 W STATE HIGHWAY 22
RATCLIFF AR, 72951-9000, US
Phone (479) 635-5300
Fax (479) 635-2010
Business Location
PO BOX 130
RATCLIFF AR, 72951-0130, US
Phone (479) 635-5300
Fax (479) 635-2010
Toxanomy
Taxonomy Code 363LF0000X
License State Arkansas
License Number AO3428 ANP
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According to our database, Kelly Jo Hubbard APN NPI is 1780990408, taxonomy code is 363LF0000X and license number is AO3428 ANP, license state is located at Arkansas. Kelly Jo Hubbard APN physically located at 9755 W State Highway 22, Ratcliff AR, 72951-9000. NPI Number Kelly Jo Hubbard APN has the Individual type.

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1780990408 NPI number is provided on an as is basis without warranty of any kind. 1780990408 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Jo Hubbard APN are for informational purposes only.