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NPI Code Detail

MEDICARE: MRS. JENNIFER ANN HUBBARD RN, APRN

MEDICARE:  MRS. JENNIFER ANN HUBBARD  RN, APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse13-90878-022KS
2363LP0808XPsychiatric/Mental Health Nurse Practitioner75794KS

General Provider Information

NPI Number : 1972722965
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER ANN HUBBARD RN, APRN
Provider Business Mailing Address
First Line : 126 N KARREN CT
Second Line :
City : WICHITA
State : KS
Zip : 67212-5968
Country : US
Telephone Number : 316-734-3126
Fax Number :
Provider Business Practice Location Address
First Line : 524 N MAIN ST
Second Line :
City : EL DORADO
State : KS
Zip : 67042-2024
Country : US
Telephone Number : 316-321-6036
Fax Number : 316-321-6336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 03/05/2021

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Directions to “ MRS. JENNIFER ANN HUBBARD RN, APRN” Practice Location

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