Provider Demographics
NPI:1841852696
Name:HUFFAKER, TARYN NICOLE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:NICOLE
Last Name:HUFFAKER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:NICOLE
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1586
Mailing Address - Street 2:
Mailing Address - City:DENVER CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79323-1586
Mailing Address - Country:US
Mailing Address - Phone:806-592-1060
Mailing Address - Fax:806-592-1061
Practice Address - Street 1:521 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-2845
Practice Address - Country:US
Practice Address - Phone:806-592-1060
Practice Address - Fax:806-592-1061
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142058363LF0000X
NM66666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily