Healthcare Provider Details

I. General information

NPI: 1750799300
Provider Name (Legal Business Name): EMILY CORLEY HUGHES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY CORLEY KIKER FNP

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BAPTIST DR STE 301A
MADISON MS
39110-2012
US

IV. Provider business mailing address

184 WOODS CROSSING BLVD
MADISON MS
39110-7092
US

V. Phone/Fax

Practice location:
  • Phone: 601-891-5524
  • Fax: 601-348-8716
Mailing address:
  • Phone: 662-645-8088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number882637
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: