Individual
TARA MICHELLE HUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(423) 794-8777
Mailing address
130 JEWELL ST, JOHNSON CITY, TN 37601-5207
(423) 794-8777
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN314312
GA
Other
Enumeration date
08/14/2022
Last updated
09/08/2022
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