| Doctor Name: | DEBORAH HUPP |
| NPI Number: | 1053500363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 84271 |
| Business Practice Address: | 245 East Roosevelt Ave Minuteclinic Diagnostic Of North Carolina Wake Forest, NC - 27587 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | 4016529787 |
| Mailing Address: | 9305 Glamis Cir, WAKE FOREST |
| State: | NC |
| Postal Code: | 275871648 |
| Phone Number: | 9194531640 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 84271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |