Healthcare Provider Details

I. General information

NPI: 1417143157
Provider Name (Legal Business Name): BOBBIE JO HUFFMAN CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BOBBIE JO KLESS

II. Dates (important events)

Enumeration Date: 09/17/2007
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HOSPITAL DR
ATHENS OH
45701-2301
US

IV. Provider business mailing address

PO BOX 188
CHILLICOTHEE OH
45601-0188
US

V. Phone/Fax

Practice location:
  • Phone: 740-592-3091
  • Fax: 741-594-5642
Mailing address:
  • Phone: 740-773-4366
  • Fax: 740-775-7855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPRN.CNS.09520
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: