MEDICARE: HUGHES HEALTH SERVICE LLC

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1851040620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUGHES HEALTH SERVICE LLC

Provider Business Mailing Address
First Line	:	1011 HIOAKS RD STE D
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4040
Country	:	US
Telephone Number	:	804-424-1799
Fax Number	:	804-494-5867

Provider Business Practice Location Address
First Line	:	1011 HIOAKS RD STE D
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4040
Country	:	US
Telephone Number	:	804-424-1799
Fax Number	:	804-494-5867

Authorized Official
Title or Position	:	FNP
Name	:	JAMICA HUGHES
Credential	:	FNP
Telephone Number	:	804-424-1799

Provider Enumeration Date	:	03/21/2022
Last Update Date	:	03/16/2023

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