Individual
JENNIFER R HUBBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 NE 10TH ST, OUPB 2500, OKLAHOMA CITY, OK 73104-5417
(405) 271-7001
Mailing address
3004 NW 191ST ST, EDMOND, OK 73012-9775
(405) 588-2112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1597
OK
Other
Enumeration date
02/27/2007
Last updated
11/19/2012
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