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Individual

MRS. JENNIFER ANN HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APRN

Contact information

Practice address
524 N MAIN ST, EL DORADO, KS 67042-2024
(316) 321-6036
(316) 321-6336
Mailing address
126 N KARREN CT, WICHITA, KS 67212-5968
(316) 734-3126

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
13-90878-022
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
75794
KS

Other

Enumeration date
04/25/2007
Last updated
03/05/2021
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