Individual
MRS. MARY ELLEN HUCKABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
295B S JACKSON ST, GROVE HILL, AL 36451-3231
(251) 275-3173
(251) 275-4281
Mailing address
PO BOX 935, GROVE HILL, AL 36451-0935
(251) 275-3173
(251) 275-4281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1038498
AL
Other
Enumeration date
05/10/2006
Last updated
03/23/2010
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