Provider Demographics
NPI:1679963607
Name:HUGHES, DANA ELIZABETH (APRN-FNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:ELIZABETH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:E
Other - Last Name:TISDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2700 STANLEY GAULT PKWY
Mailing Address - Street 2:SUITE 129
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5132
Mailing Address - Country:US
Mailing Address - Phone:502-489-5730
Mailing Address - Fax:502-489-5753
Practice Address - Street 1:10216 TAYLORSVILLE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:JEFFERSONTOWN
Practice Address - State:KY
Practice Address - Zip Code:40299-3616
Practice Address - Country:US
Practice Address - Phone:502-267-5456
Practice Address - Fax:502-267-5488
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily