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Individual
STACEY ELIZABETH HUGHES
Active
Individual
STACEY ELIZABETH HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015013A
IN
363LF0000X
Family Nurse Practitioner
RN217846
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100224967
ANTHEM PTAN
IN
05
—
300088709
—
IN
Enumeration date
06/01/2017
Last updated
10/16/2024
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