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NPI Code Detail

MEDICARE: JIMMY HUGHES

MEDICARE:   JIMMY  HUGHES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPN000026436TN

General Provider Information

NPI Number : 1225679376
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMMY HUGHES
Provider Business Mailing Address
First Line : 126 LAVENDER ST
Second Line :
City : SPRING CITY
State : TN
Zip : 37381-5102
Country : US
Telephone Number : 423-365-0450
Fax Number :
Provider Business Practice Location Address
First Line : 126 LAVENDER ST
Second Line :
City : SPRING CITY
State : TN
Zip : 37381-5102
Country : US
Telephone Number : 423-365-0450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 01/11/2026

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Directions to “ JIMMY HUGHES ” Practice Location

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