Provider Demographics
NPI:1821414806
Name:HUGHES, JENNIFER LYNN (RN MSN CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN MSN CPNP
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Mailing Address - Street 1:17 IRON BRIDGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2042
Mailing Address - Country:US
Mailing Address - Phone:484-622-6340
Mailing Address - Fax:484-622-6357
Practice Address - Street 1:17 IRON BRIDGE DR STE 100
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2042
Practice Address - Country:US
Practice Address - Phone:484-622-6340
Practice Address - Fax:484-622-6357
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN193933363LP0200X
PASP019289208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics