Individual
KASSIDY NICOLE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
550 FORT SUMMIT WAY FL 2, KNOXVILLE, TN 37915-2146
(865) 970-9800
(865) 374-2054
Mailing address
550 FORT SUMMIT WAY FL 2, KNOXVILLE, TN 37915-2146
(865) 970-9800
(865) 374-2054
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
0000244679
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
33077
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081069
—
TN
Enumeration date
12/05/2022
Last updated
03/14/2023
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