Provider Demographics
NPI:1366125577
Name:HUGHES, JUANITA V (LACTATION CONSULTANT)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:V
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LACTATION CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 MISTLETOE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4490
Mailing Address - Country:US
Mailing Address - Phone:512-961-9381
Mailing Address - Fax:
Practice Address - Street 1:14901 MISTLETOE HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4490
Practice Address - Country:US
Practice Address - Phone:512-961-9381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-302733163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty