JAYLYNN LYON HUGHES PAC NPI 1093707440

NPI Information

NPI: 1093707440
Provider Name: JAYLYNN LYON HUGHES, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
314 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405
Phone: (253) 403-7257
Get Directions

Jaylynn Lyon Hughes, PAC is a surgical physician assistant in Tacoma, WA. Jaylynn Lyon Hughes, PAC NPI is 1093707440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

314 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405-250
Phone: (253) 403-7257
Fax: (253) 403-1340

The NPI 1093707440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2005 and was last updated on 11/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA00387	OREGON	No
2	363AS0400X	Physician Assistant	Surgical	PA10003016	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S23086	MEDICARE UPIN	OREGON
2	210476	MEDICAID	OREGON
3	8436255	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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