Provider Demographics
NPI:1174554406
Name:HUBBARD, DAVID PAUL (NP-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PAUL
Last Name:HUBBARD
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2247
Mailing Address - Country:US
Mailing Address - Phone:615-893-4896
Mailing Address - Fax:
Practice Address - Street 1:1725 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2247
Practice Address - Country:US
Practice Address - Phone:615-893-4896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7207363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN7207OtherFNP LICENSE
TNAPN7207OtherFNP LICENSE