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General NPI Number Information
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NPI Number | 1376270447
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Entity Type | Individual
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Provider Name | AMY-SARAH MAEVE HUBBARD NP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 438 E VANN RD STE 300
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City | GREENEVILLE
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State | TN
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Zip | 37743-7202
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Country | US
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Telephone | 423-278-1696
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Fax | 423-278-1697
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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Fax | 423-282-1657
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 31478
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024184210
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License Number State | VA
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