Provider Demographics
NPI:1083923676
Name:HUGHES, TAFFY JILL (BSE)
Entity Type:Individual
Prefix:
First Name:TAFFY
Middle Name:JILL
Last Name:HUGHES
Suffix:
Gender:F
Credentials:BSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44454 TURKEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ASHER
Mailing Address - State:OK
Mailing Address - Zip Code:74826-6009
Mailing Address - Country:US
Mailing Address - Phone:405-289-3201
Mailing Address - Fax:
Practice Address - Street 1:44454 TURKEY HILL RD
Practice Address - Street 2:
Practice Address - City:ASHER
Practice Address - State:OK
Practice Address - Zip Code:74826-6009
Practice Address - Country:US
Practice Address - Phone:405-289-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator