Provider Demographics
NPI:1386007672
Name:HUGGINS, JOY RENEE (NP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:RENEE
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:KIDD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71221-0293
Mailing Address - Country:US
Mailing Address - Phone:318-283-3623
Mailing Address - Fax:318-239-8623
Practice Address - Street 1:323 W WALNUT AVE
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-4521
Practice Address - Country:US
Practice Address - Phone:318-283-3910
Practice Address - Fax:318-239-8910
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN093448163W00000X
LAAP08884363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2455044Medicaid