Individual
JEREMIAH HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 852-5824
Mailing address
3498 JEFFERSON RIDGE DR APT 6101, JEFFERSONVILLE, IN 47130-7276
(630) 457-0301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28292276A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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