Healthcare Provider Details

I. General information

NPI: 1700704020
Provider Name (Legal Business Name): NEW CREATION FUNCTIONAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 UPTOWN SQ
MURFREESBORO TN
37129-0573
US

IV. Provider business mailing address

1034 PUSHER PL
ROCKVALE TN
37153-4190
US

V. Phone/Fax

Practice location:
  • Phone: 629-317-4077
  • Fax:
Mailing address:
  • Phone: 615-347-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLI MORRIS HUXTABLE
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-C
Phone: 615-347-2622