Provider Demographics
NPI:1932714698
Name:HUBBLE, MORGAN S (FNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:S
Last Name:HUBBLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6033
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-6033
Mailing Address - Country:US
Mailing Address - Phone:317-827-2987
Mailing Address - Fax:317-219-0879
Practice Address - Street 1:13655 SMOKEY RIDGE PL
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9265
Practice Address - Country:US
Practice Address - Phone:317-827-2987
Practice Address - Fax:317-219-0879
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010353A363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner