Provider Demographics
NPI:1316481179
Name:HUGHES, KAYLA YOLANDA (RN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:YOLANDA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:COPPERHILL
Mailing Address - State:TN
Mailing Address - Zip Code:37317-5423
Mailing Address - Country:US
Mailing Address - Phone:706-455-8258
Mailing Address - Fax:
Practice Address - Street 1:840 CHEROKEE TRL
Practice Address - Street 2:
Practice Address - City:COPPERHILL
Practice Address - State:TN
Practice Address - Zip Code:37317-5220
Practice Address - Country:US
Practice Address - Phone:423-496-3275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000195123163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse