Healthcare Provider Details

I. General information

NPI: 1093826463
Provider Name (Legal Business Name): KATINA ENGLAND HUFF PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATINA ENGLAND JONES PA-C

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 11/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 CHURCHILL DR
SPARTA TN
38583-1524
US

IV. Provider business mailing address

PO BOX 622
SPARTA TN
38583-0622
US

V. Phone/Fax

Practice location:
  • Phone: 931-836-3262
  • Fax: 931-836-3269
Mailing address:
  • Phone: 931-808-1378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA633
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: