Healthcare Provider Details

I. General information

NPI: 1770383804
Provider Name (Legal Business Name): RYLAN RICHARD HUFF AGPCNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 MEDICAL CENTER PKWY STE 300
MURFREESBORO TN
37129-2250
US

IV. Provider business mailing address

617 CRANOR RD
MURFREESBORO TN
37130-7187
US

V. Phone/Fax

Practice location:
  • Phone: 615-893-4100
  • Fax:
Mailing address:
  • Phone: 309-224-7305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number38068
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: