Hubbard, Mariel

Hubbard, Mariel is an individual health care provider with primary practice located at 101 Medical Park , Hattiesburg MS 39401-9042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hubbard, Mariel can be contacted via phone (601) 579-3000.

Contact Information

Primary practice address
101 Medical Park Hattiesburg MS 39401-9042
Fax: (601) 584-4727
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R880070 Mississippi

Profile Details

NPI number 1083964092
LBN Legal business name Hubbard, Mariel
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated Jul 30th, 2020 - 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 1083964092 NPPES
Mississippi MEDICAID 08706760
Mississippi MEDICAID 2406361

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