Provider Demographics
NPI:1013394691
Name:HUFFSTUTTER, JESSICA GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:GRACE
Last Name:HUFFSTUTTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-7908
Mailing Address - Country:US
Mailing Address - Phone:423-826-0800
Mailing Address - Fax:423-826-0810
Practice Address - Street 1:1035 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-7908
Practice Address - Country:US
Practice Address - Phone:423-826-0800
Practice Address - Fax:423-826-0810
Is Sole Proprietor?:No
Enumeration Date:2015-05-02
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD61652207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology