Hubbard, Jeremy Ray

Hubbard, Jeremy Ray is an individual health care provider with primary practice located at 728 W Sherrod Ave , Covington TN 38019-3024. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hubbard, Jeremy Ray can be contacted via phone (901) 476-7779.

Contact Information

Primary practice address
728 W Sherrod Ave Covington TN 38019-3024
Phone: (901) 476-7779
Fax: (901) 475-6008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23230 Tennessee

Profile Details

NPI number 1033638499
LBN Legal business name Hubbard, Jeremy Ray
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2017
Last updated Dec 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033638499 NPPES
Tennessee MEDICAID Q038660

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