Individual
MRS. MICHELLE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
768 AVERY BLVD N, RIDGELAND, MS 39157-5219
(601) 487-6482
Mailing address
171 INEZ OWENS DR, BYRAM, MS 39212-3265
(601) 260-5028
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG0117013
MS
363LG0600X
Gerontology Nurse Practitioner
AG0117013
MS
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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