Healthcare Provider Details

I. General information

NPI: 1063819837
Provider Name (Legal Business Name): SARAH HUBBS MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 COMMUNICATIONS PKWY STE 201
PLANO TX
75093-8492
US

IV. Provider business mailing address

2821 E GEORGE BUSH HWY., STE 407
RICHARDSON TX
75082
US

V. Phone/Fax

Practice location:
  • Phone: 972-943-9779
  • Fax: 972-943-9776
Mailing address:
  • Phone: 972-680-0668
  • Fax: 972-680-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP126717
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number821167
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP126717
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP126717
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: