Healthcare Provider Details

I. General information

NPI: 1285465674
Provider Name (Legal Business Name): DEBORAH HUGHES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E CEDAR ST
FLORENCE SC
29506-2576
US

IV. Provider business mailing address

8906 TWO NOTCH RD
COLUMBIA SC
29223-6366
US

V. Phone/Fax

Practice location:
  • Phone: 843-629-6800
  • Fax:
Mailing address:
  • Phone: 803-254-3676
  • Fax: 803-254-3678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number27864
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: