Provider Demographics
NPI:1912406133
Name:HUGHEY, JANICE MARIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 STONE MANOR CT
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-7027
Mailing Address - Country:US
Mailing Address - Phone:770-714-2144
Mailing Address - Fax:
Practice Address - Street 1:159 STONE MANOR CT
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7027
Practice Address - Country:US
Practice Address - Phone:770-714-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF01180853363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF01180853OtherAANPCB
GARN050940OtherGA BOARD NURSING