Provider Demographics
NPI:1871312207
Name:HUGHES, FUNIKA (RN)
Entity type:Individual
Prefix:
First Name:FUNIKA
Middle Name:
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 1:307 W STILLWELL AVE
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-2860
Mailing Address - Country:US
Mailing Address - Phone:870-642-4214
Mailing Address - Fax:870-642-7782
Practice Address - Street 1:307 W STILLWELL AVE
Practice Address - Street 2:
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-2860
Practice Address - Country:US
Practice Address - Phone:870-642-4214
Practice Address - Fax:870-642-7782
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR079403163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse