Individual
CLAY J HUBBLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1616 S COLUMBIA ST, STE. C, BOGALUSA, LA 70427-5880
(985) 735-1685
(985) 735-1088
Mailing address
231 SAINT ANN DR, SUITE 2, MANDEVILLE, LA 70471-3219
(985) 624-5410
(985) 624-5490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05824
LA
363LF0000X
Family Nurse Practitioner
AP05824
LA
Other
Enumeration date
06/24/2009
Last updated
03/30/2026
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