Provider Demographics
NPI:1417410846
Name:HUFFMAN, EMILY ANNE (CRNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:CRNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 20TH AVE E
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-4071
Mailing Address - Country:US
Mailing Address - Phone:205-221-9775
Mailing Address - Fax:
Practice Address - Street 1:705 20TH AVE E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-4071
Practice Address - Country:US
Practice Address - Phone:205-221-9775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150238363LW0102X
AL3-000631363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health