Provider Demographics
NPI:1275667388
Name:HUBBARD, ALLISON T (FNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:T
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:224A CORNWALL ST NW STE 200D
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2701
Mailing Address - Country:US
Mailing Address - Phone:703-443-2000
Mailing Address - Fax:571-918-4185
Practice Address - Street 1:46440 BENEDICT DR STE 208
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-6602
Practice Address - Country:US
Practice Address - Phone:571-434-0022
Practice Address - Fax:571-434-1881
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024150564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA016994M58Medicare UPIN
VA143777ZCCUMedicare PIN