Healthcare Provider Details

I. General information

NPI: 1942002282
Provider Name (Legal Business Name): JANA KAREN HUFF DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1653 59TH ST APT A-1
BROOKLYN NY
11204-2130
US

IV. Provider business mailing address

25 WILLIAM JACKSON AVE BSMT
BRIGHTON MA
02135-3912
US

V. Phone/Fax

Practice location:
  • Phone: 646-872-8635
  • Fax:
Mailing address:
  • Phone: 617-685-1724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1234567
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: