Provider Demographics
NPI:1063766566
Name:HUNT, DEBORAH FAYE (FNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:FAYE
Last Name:HUNT
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 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:3514 21ST ST FL 6
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-725-2263
Practice Address - Fax:806-723-7768
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572289363LF0000X
TXAP122735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX313940401Medicaid
TX899N92OtherBCBS
TX270225YKT8OtherMEDICARE
NM56088311Medicaid
TX700042100OtherFIRSTCARE
TXP01228225OtherRAILROAD MEDICARE