Organization
CLAY HUBBLE FNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY J HUBBLE III FNP (NURSE PRACTITIONER)
(985) 234-9450
Entity
Organization
Contact information
Practice address
69304 PREVOST RD, MANDEVILLE, LA 70471-7702
(985) 234-9450
(985) 234-9450
Mailing address
69304 PREVOST RD, MANDEVILLE, LA 70471-7702
(985) 234-9450
(985) 234-9450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05824
LA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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