Provider Demographics
NPI:1003238221
Name:HUGHES, JULIE MACKAY (APRN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MACKAY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751461
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1461
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:2070 NORTHBOOK BLVD
Practice Address - Street 2:STE A16
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-0100
Practice Address - Country:US
Practice Address - Phone:843-818-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18027363LP0200X
SC24023363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics