Provider Demographics
NPI:1669088647
Name:CURTIS, KATIE LAUREN HUBBARD (FNP-C)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LAUREN HUBBARD
Last Name:CURTIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 LIVE OAK ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77611-2105
Mailing Address - Country:US
Mailing Address - Phone:409-988-5546
Mailing Address - Fax:
Practice Address - Street 1:8050 EASTEX FWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-2403
Practice Address - Country:US
Practice Address - Phone:409-924-0085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1008171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily