Healthcare Provider Details

I. General information

NPI: 1215710066
Provider Name (Legal Business Name): JAMI HUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 MAIN ST
BARBOURSVILLE WV
25504-1405
US

IV. Provider business mailing address

701 MAIN ST
BARBOURSVILLE WV
25504-1405
US

V. Phone/Fax

Practice location:
  • Phone: 646-552-8044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: