Healthcare Provider Details

I. General information

NPI: 1316429434
Provider Name (Legal Business Name): CASSIE L. HUGHES DENTON AUSTIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 W OXFORD LOOP STE 103
OXFORD MS
38655-0658
US

IV. Provider business mailing address

970 HIGHWAY 7 S
WATER VALLEY MS
38965-3746
US

V. Phone/Fax

Practice location:
  • Phone: 662-380-5445
  • Fax: 662-380-5517
Mailing address:
  • Phone: 662-832-4477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF09180077
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number902883
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF09180077
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: