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
Phone: (601) 579-3000
Fax: (601) 584-4727
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083964092 | NPPES |
| Mississippi | MEDICAID | 08706760 | |
| Mississippi | MEDICAID | 2406361 |
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