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NPI 1104216381

NPI 1104216381 : LAQUITTA HUGHES FNP-C : RIDGELAND, MS

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General NPI Number Information
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    NPI Number           |    1104216381
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    Entity Type          |    Individual 
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    Provider Name        |    LAQUITTA HUGHES FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/27/2015
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    Last Update Date     |    10/19/2026
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Provider Practice Location Address
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    Address Line         |    1000 HIGHLAND COLONY PKWY STE 5203 
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    City                 |    RIDGELAND
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    State                |    MS
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    Zip                  |    39157-2079
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    Country              |    US
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    Telephone            |    855-212-2273
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    Fax                  |    629-240-6003
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Provider Business Mailing Address
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    Address Line         |    5410 MARYLAND WAY STE 400 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-8087
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    Country              |    US
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    Telephone            |    855-212-2273
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    A004347
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    R873131
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    License Number State |    MS
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    R873131
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    License Number State |    MS
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