Healthcare Provider Details

I. General information

NPI: 1134714272
Provider Name (Legal Business Name): GABRIELLE FORD HUFFMAN MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S STERLING ST
MORGANTON NC
28655-3938
US

IV. Provider business mailing address

1000 S STERLING ST
MORGANTON NC
28655-3938
US

V. Phone/Fax

Practice location:
  • Phone: 828-764-7124
  • Fax:
Mailing address:
  • Phone: 828-764-7124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07200498
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: