Provider Demographics
NPI:1699704148
Name:HUGHES, JENNIFER HOLLY (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HOLLY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 US 64 HWY
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-8156
Mailing Address - Country:US
Mailing Address - Phone:828-287-9993
Mailing Address - Fax:828-287-9133
Practice Address - Street 1:249 US 64 HWY
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-8156
Practice Address - Country:US
Practice Address - Phone:828-287-9993
Practice Address - Fax:828-287-9133
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0842MOtherBCBS
NC890842MMedicaid
NC2454181Medicare ID - Type Unspecified