| Bryce Hughes, PNP | |
|
101 Lexington Dr, Gluckstadt, MS 39110-6985 | |
| (601) 707-3771 | |
| Not Available |
| Full Name | Bryce Hughes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 101 Lexington Dr, Gluckstadt, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326818261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 906472 (Mississippi) | Primary |
| 163W00000X | Registered Nurse | 911931 (Mississippi) | Secondary |
| Entity Name | Gluckstadt Tc Kids, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255947297 PECOS PAC ID: 5496160210 Enrollment ID: O20210209000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce Hughes, PNP 101 Lexington Dr, Gluckstadt, MS 39110-6985 Ph: (601) 988-5000 | Bryce Hughes, PNP 101 Lexington Dr, Gluckstadt, MS 39110-6985 Ph: (601) 707-3771 |
Laura K Tanksley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1040 Gluckstadt Rd Ste B, Gluckstadt, MS 39110 Phone: 601-605-0452 | |
Clarence D Hayes, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 First Colony Blvd, Gluckstadt, MS 39110 Phone: 601-807-1624 | |
Avery Nash, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Lexington Dr Ste A, Gluckstadt, MS 39110 Phone: 601-707-3771 Fax: 601-707-3751 |