Healthcare Provider Details

I. General information

NPI: 1649696949
Provider Name (Legal Business Name): JENNIFER HUFF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 ALCOA HWY STE 410
KNOXVILLE TN
37920-1545
US

IV. Provider business mailing address

1926 ALCOA HWY STE 410
KNOXVILLE TN
37920-1545
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8780
  • Fax: 865-305-8199
Mailing address:
  • Phone: 865-305-8780
  • Fax: 865-305-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0000141473
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0000018623
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: