Provider Demographics
NPI:1801100912
Name:HOMETOWN HEALTHCARE
Entity type:Organization
Organization Name:HOMETOWN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUFFINES
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN,FNP-BC
Authorized Official - Phone:615-688-9508
Mailing Address - Street 1:32 BRATTONTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-2623
Mailing Address - Country:US
Mailing Address - Phone:615-688-9500
Mailing Address - Fax:
Practice Address - Street 1:32 BRATTONTOWN CIR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-2623
Practice Address - Country:US
Practice Address - Phone:615-688-9500
Practice Address - Fax:615-688-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN13760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty