Hughes, Jacqueline

Hughes, Jacqueline is an individual health care provider with primary practice located at Hwy 264 Mile Post 388 , Polacca AZ 86042-4000. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Hughes, Jacqueline can be contacted via phone (928) 737-6386.

Contact Information

Primary practice address
Hwy 264 Mile Post 388 Polacca AZ 86042-4000
Fax: (928) 737-6369
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA999950671 Arizona

Profile Details

NPI number 1437460813
LBN Legal business name Hughes, Jacqueline
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Jun 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437460813 NPPES
Arizona MEDICAID 020529

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