Provider Demographics
NPI:1629575964
Name:HUGHES, TIFFANY A (APRN, AGNP-C)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 STONERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1461
Mailing Address - Country:US
Mailing Address - Phone:888-725-5422
Mailing Address - Fax:903-501-1100
Practice Address - Street 1:5803 STONERIDGE DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-1461
Practice Address - Country:US
Practice Address - Phone:888-725-5422
Practice Address - Fax:903-501-1100
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130470363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner