Provider Demographics
NPI:1003048810
Name:HUDDLESTON, PATRICIA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:M
Last Name:HUDDLESTON
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1930 ALCOA HWY
Mailing Address - Street 2:STE A-235
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1500
Mailing Address - Country:US
Mailing Address - Phone:865-305-4670
Mailing Address - Fax:865-305-4671
Practice Address - Street 1:1940 ALCOA HWY
Practice Address - Street 2:STE 180
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2244
Practice Address - Country:US
Practice Address - Phone:865-305-6955
Practice Address - Fax:865-305-8238
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2013-10-31
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Provider Licenses
StateLicense IDTaxonomies
TN14313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily