Individual
JACQUELINE B HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 472-7308
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 472-7308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
338801
NY
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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