Healthcare Provider Details

I. General information

NPI: 1073574737
Provider Name (Legal Business Name): JEANNE HUFFNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEANNE PAUL-ALLEN FNP

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 PLAZA DR
SAINT CLAIRSVILLE OH
43950-7713
US

IV. Provider business mailing address

109 PLAZA DR
SAINT CLAIRSVILLE OH
43950-7713
US

V. Phone/Fax

Practice location:
  • Phone: 740-695-2090
  • Fax: 740-695-4116
Mailing address:
  • Phone: 740-695-2090
  • Fax: 740-695-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN39382-FNP-BC
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.12370
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: