Provider Demographics
NPI:1376733170
Name:HUGHES, TAMMY H (MSN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:H
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MSN
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 8168
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31095-8168
Mailing Address - Country:US
Mailing Address - Phone:478-333-6901
Mailing Address - Fax:478-333-6907
Practice Address - Street 1:109 OSIGIAN BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8922
Practice Address - Country:US
Practice Address - Phone:478-333-6901
Practice Address - Fax:478-333-6907
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010660363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP88209Medicare UPIN