Individual provider · Type 1 NPI

Tracee J. Hubbard, FNP-C

Nurse Practitioner · St. Louis, MO

NPI number 1336922137 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5600 Map

Mailing address

9821 Mark Trl
Fairview Heights, IL 62208-1612

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209036060 (IL)
Pediatric Registered Nurse	163WP0200X	041528275 (IL)
Pediatric Registered Nurse	163WP0200X	2021005902 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336922137

Tracee J. Hubbard, FNP-C's National Provider Identifier is 1336922137, issued on Aug 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 11, 2026.