Provider Demographics
NPI:1356791982
Name:HUGHES, TRENTON J (APRN)
Entity type:Individual
Prefix:
First Name:TRENTON
Middle Name:J
Last Name:HUGHES
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:TRENT
Other - Middle Name:J
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:350 N HUMPHREYS BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2177
Mailing Address - Country:US
Mailing Address - Phone:901-227-8693
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:2024 15TH STREET
Practice Address - Street 2:5TH FLOOR, MEDICAL TOWER I
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301
Practice Address - Country:US
Practice Address - Phone:601-553-6399
Practice Address - Fax:601-703-8398
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily