Healthcare Provider Details

I. General information

NPI: 1548182231
Provider Name (Legal Business Name): JENNIFER SUZANNE HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 S 6TH ST STE R
LAS VEGAS NV
89101-6948
US

IV. Provider business mailing address

732 S 6TH ST STE R
LAS VEGAS NV
89101-6948
US

V. Phone/Fax

Practice location:
  • Phone: 702-609-0567
  • Fax:
Mailing address:
  • Phone: 702-609-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10337-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: