Individual
JULIA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE GENERAL HOSPITAL, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
109G GAINSBOROUGH SQ, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840727
VA
363AM0700X
Medical Physician Assistant
0110840727
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008925763
—
VA
01
—
970013899
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
08/08/2024
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