Individual
GRACE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CS
Contact information
Practice address
8520 SIX FORKS RD, SUITE 204, RALEIGH, NC 27615-3095
(919) 676-1497
(919) 676-1430
Mailing address
3410 CAMBRIDGE RD, DURHAM, NC 27707-4508
(919) 403-1956
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
200001387175
NC
163WP0808X
Psychiatric/Mental Health Registered Nurse
200001387175
NC
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
200001387175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6004003
—
NC
Enumeration date
02/15/2007
Last updated
09/11/2025
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