Individual
TYREESHA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
173 BOULEVARD NE, ATLANTA, GA 30312-1468
(404) 658-1500
Mailing address
316 VERMILLION ST, ACWORTH, GA 30102-1406
(678) 697-6400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN251907
GA
Other
Enumeration date
07/26/2021
Last updated
01/16/2022
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