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NPI Code Detail

MEDICARE: KIMBERLY CLARK HUGHES

MEDICARE: KIMBERLY CLARK 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5024688NC

General Provider Information

NPI Number : 1235064841
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CLARK HUGHES
Provider Business Mailing Address
First Line : 4004 HIDCOTE CT
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-7684
Country : US
Telephone Number : 252-258-0041
Fax Number :
Provider Business Practice Location Address
First Line : 90 GUARDIAN CT
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3017
Country : US
Telephone Number : 252-210-9015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ KIMBERLY CLARK HUGHES ” Practice Location

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