Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1-095375 | AL |
NPI | 1043500465 |
---|---|
Provider Name | Ms. Julie Frances Hughes |
First Address | Enterprise, AL 36330-2085 |
Second Address | Enterprise, AL 36330-2085 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 16/08/2017 |