Individual
SHIRLEY ANN HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WELLINGTON CT, GRAY, TN 37615-3205
(423) 534-2398
Mailing address
105 WELLINGTON CT, GRAY, TN 37615-3205
(142) 353-4239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000105977
TN
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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