Provider Demographics
NPI:1821303090
Name:HUGHES, JO A (LPN)
Entity Type:Individual
Prefix:MS
First Name:JO
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPN
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 231
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:OK
Mailing Address - Zip Code:74856-0231
Mailing Address - Country:US
Mailing Address - Phone:580-559-1056
Mailing Address - Fax:580-371-2056
Practice Address - Street 1:705 WEST MAIN
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460
Practice Address - Country:US
Practice Address - Phone:580-371-3799
Practice Address - Fax:580-371-2056
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0049673251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care