Provider Demographics
NPI:1821516527
Name:HUFF, JERAMY W (PA-C)
Entity Type:Individual
Prefix:
First Name:JERAMY
Middle Name:W
Last Name:HUFF
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Gender:M
Credentials:PA-C
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Other - Last Name:
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Mailing Address - Street 1:5000 AMBASSADOR CAFFERY PARKWAY
Mailing Address - Street 2:BUILDING 14, STE A
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-470-3580
Mailing Address - Fax:337-470-3586
Practice Address - Street 1:5000 AMBASSADOR CAFFERY PARKWAY
Practice Address - Street 2:BUILDING 14, STE A
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-470-3580
Practice Address - Fax:337-470-3586
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2020-03-03
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Provider Licenses
StateLicense IDTaxonomies
LA306986363AS0400X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical