Healthcare Provider Details

I. General information

NPI: 1548146566
Provider Name (Legal Business Name): HILLARY E HUBBELL-FLINN ACAGNP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5216 CLAYTON CT
FORT MYERS FL
33907-2116
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-8260
  • Fax: 239-343-4258
Mailing address:
  • Phone: 239-343-8260
  • Fax: 239-343-4258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11037726
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11037726
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: