Provider Demographics
NPI:1023103777
Name:HUFFMAN, CAROL RENE (FNP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:RENE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:RENE
Other - Last Name:PIPPIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:403 EAST G STREET
Mailing Address - Street 2:CARTER CO HEALTH DEPT
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643
Mailing Address - Country:US
Mailing Address - Phone:423-543-2521
Mailing Address - Fax:423-543-7348
Practice Address - Street 1:403 E G ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-3223
Practice Address - Country:US
Practice Address - Phone:423-543-2521
Practice Address - Fax:423-543-7348
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN046141163W00000X
TNAPN05437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse