Clay Hubble FNP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP05824 Issued in LA

Legal business name

CLAY HUBBLE FNP LLC

Practice address

69304 Prevost Rd
Mandeville, LA 70471-7702

Phone

(985) 234-9450

Fax

(985) 234-9450

NPI assigned

Mar 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clay J Hubble III, FNP

Title

Nurse Practitioner

Phone

(985) 234-9450

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1336463660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69304 PREVOST RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717702",
            "telephone_number": "985-234-9450",
            "fax_number": "985-234-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69304 PREVOST RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717702",
            "telephone_number": "985-234-9450",
            "fax_number": "985-234-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY HUBBLE FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "HUBBLE",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "985-234-9450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.