Individual
JACLYN HUGHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 BURDICK EXPY E, MINOT, ND 58701-4768
(701) 857-5000
Mailing address
104 6TH ST SE, MINOT, ND 58701-4028
(978) 835-5696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R40124
ND
163W00000X
Registered Nurse
RN228489
MA
163W00000X
Registered Nurse
RN615775
NY
363LF0000X
Family Nurse Practitioner
Primary
R40124
ND
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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