Organization Name: | GERIATRIC ESSENTIALS, PC |
NPI Number: | 1003086307 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID BRIAN HUGHES (GERIATRIC NURSE PRACTITIONER) |
Mailing Address: | 1167 Jr Jones Rd Humboldt |
State: | TN US |
Postal Code: | 383438080 |
Phone Number: | 7315718808 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 12/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SG0600X |
License Number: | APN013215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |