Provider Demographics
NPI:1780282160
Name:HUGHES, JOVAN (MSW)
Entity type:Individual
Prefix:
First Name:JOVAN
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JOVAN
Other - Middle Name:
Other - Last Name:FRANCOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12345 I 10 SERVICE RD APT 1706
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-4563
Mailing Address - Country:US
Mailing Address - Phone:504-215-3009
Mailing Address - Fax:
Practice Address - Street 1:3028 GENTILLY BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-3808
Practice Address - Country:US
Practice Address - Phone:504-948-6080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty