Provider Demographics
NPI:1164773362
Name:HUGHES, CHARLOTTE A (RN)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:CORKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 CARLTON DR
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-2836
Mailing Address - Country:US
Mailing Address - Phone:870-382-1680
Mailing Address - Fax:870-382-1681
Practice Address - Street 1:105 CARLTON DR
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2836
Practice Address - Country:US
Practice Address - Phone:870-382-1680
Practice Address - Fax:870-382-1681
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR44267163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health