Individual
LAQUITTA HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5375 SAVANNAH PKWY, SOUTHAVEN, MS 38672-7516
(601) 941-2410
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R873131
MS
363LF0000X
Family Nurse Practitioner
Primary
A004347
AR
363LF0000X
Family Nurse Practitioner
R873131
MS
Other
Enumeration date
01/27/2015
Last updated
06/25/2020
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