Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 18027 | TN |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 24023 | SC |
NPI | 1003238221 |
---|---|
Provider Name | Julie Mackay Hughes |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29405-0100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2014 |
Last Update Date | 01/12/2020 |