Individual
MS. JACQUANA BERNADETTE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 NORWOOD AVE, JACKSONVILLE, FL 32208-5029
(904) 372-1392
(904) 647-1936
Mailing address
5200 NORWOOD AVE, JACKSONVILLE, FL 32208-5029
(904) 372-1392
(904) 647-1936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004722400
—
FL
Enumeration date
12/27/2012
Last updated
12/27/2012
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