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NPI Code Detail

MEDICARE: MRS. JENIFER DESHEA HUFFINES FNP-BC

MEDICARE: MRS. JENIFER DESHEA HUFFINES FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN133741TN
2363LF0000XFamily Nurse PractitionerAPN13760TN

General Provider Information

NPI Number : 1154576825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENIFER DESHEA HUFFINES FNP-BC
Provider Business Mailing Address
First Line : 209 COLLEGE ST
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1701
Country : US
Telephone Number : 615-666-2056
Fax Number : 615-666-3022
Provider Business Practice Location Address
First Line : 602 RED BOILING SPRINGS RD
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1316
Country : US
Telephone Number : 615-688-9500
Fax Number : 615-688-9501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2008
Last Update Date : 02/14/2020

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Directions to “ MRS. JENIFER DESHEA HUFFINES FNP-BC” Practice Location

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