Provider Demographics
NPI:1255326740
Name:NOBLITT, JEANNIE HUGHES (FNP)
Entity type:Individual
Prefix:MRS
First Name:JEANNIE
Middle Name:HUGHES
Last Name:NOBLITT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JEANNIE
Other - Middle Name:H
Other - Last Name:NOBLITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:4030 PEPPERWOOD CIR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6499
Mailing Address - Country:US
Mailing Address - Phone:256-539-6536
Mailing Address - Fax:256-536-1504
Practice Address - Street 1:4030 PEPPERWOOD CIR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6499
Practice Address - Country:US
Practice Address - Phone:256-539-6536
Practice Address - Fax:256-536-1504
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN125647363L00000X
TN7972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3928485Medicare PIN