Provider Demographics
NPI:1528825445
Name:HUGHES, DEVON (PA-C)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:479-709-7025
Mailing Address - Fax:479-709-7026
Practice Address - Street 1:1500 DODSON AVE # 285B
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-5182
Practice Address - Country:US
Practice Address - Phone:479-709-7025
Practice Address - Fax:479-709-7026
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant