Individual provider · Type 1 NPI
Kassidy Nicole Hubbard, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Knoxville, TN
NPI number
1194435800
Active
Practice location
550 Fort Summit Way Fl 2
Knoxville, TN 37915-2146
Fax (865) 374-2054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0000244679 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 33077 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194435800
Kassidy Nicole Hubbard, APRN, PMHNP-BC's National Provider Identifier is 1194435800, issued on Dec 5, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Knoxville, TN. The record was last updated on Mar 14, 2023.