Healthcare Provider Details

I. General information

NPI: 1720407687
Provider Name (Legal Business Name): JENNIFER HUFF FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 N 5TH ST
SILSBEE TX
77656-3838
US

IV. Provider business mailing address

660 KNUPPLE RD
SILSBEE TX
77656-6504
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-6500
  • Fax:
Mailing address:
  • Phone: 409-291-2278
  • Fax: 409-899-8521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP125516
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: