GRACE HUBBARD MSN RN CS NPI 1124161302

NPI Information

NPI: 1124161302
Provider Name: GRACE HUBBARD, MSN, RN, CS
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
8520 SIX FORKS RD
SUITE 204
RALEIGH, NC
ZIP 27615
Phone: (919) 676-1497
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Grace Hubbard, MSN, RN, CS is a psychiatric/mental health and child and adolescent registered nurse in Raleigh, NC. Grace Hubbard, MSN, RN, CS NPI is 1124161302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8520 SIX FORKS RD
SUITE 204
RALEIGH, NC
ZIP 27615-095
Phone: (919) 676-1497
Fax: (919) 676-1430

The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	200001387175	NORTH CAROLINA	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	200001387175	NORTH CAROLINA	X
3	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	200001387175	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6004003	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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