Provider Demographics
NPI:1275397507
Name:HUGHES, MELANIE LINTON (FNP)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:LINTON
Last Name:HUGHES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 CARNES RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MS
Mailing Address - Zip Code:39425-9002
Mailing Address - Country:US
Mailing Address - Phone:601-408-5897
Mailing Address - Fax:
Practice Address - Street 1:975 HALL ST
Practice Address - Street 2:
Practice Address - City:WIGGINS
Practice Address - State:MS
Practice Address - Zip Code:39577-2107
Practice Address - Country:US
Practice Address - Phone:601-528-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906510207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine