KERRI HUDDLESTON (NPI# 1457845760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457845760 |
Entity Type | Individual |
Full Name | KERRI HUDDLESTON |
Credential | FNP-BC |
Practice Address |
103 N College St Clarksville TX 75426-2982 |
Mailing Address |
1199 County Road 1405 Bogata TX 75417-6171 |
Practice Telephone | 9034275682 |
Mailing Telephone | 9035731670 |
Enumeration Date | 2018-06-20 |
Last Update Date | 2019-01-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP137785 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
506 Hwy 37 S, Mt Vernon, TX 754576550 | 9035378222 | 9035378223 |
Street Address |
103 N COLLEGE ST |
City | CLARKSVILLE |
State | TX |
Zip Code | 75426-2982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154373397 | Ravi Kumar Sreerama | Internal Medicine | 103 N College St, Clarksville, TX 75426-2982 | 2006-05-16 |
1528682358 | Brad Bills Physical Therapy Services Inc | Physical Therapist | 103 N College St, Clarksville, TX 75426-2982 | 2020-06-08 |
1073553673 | Bradley G Bills | Physical Therapist | 103 N College St, Clarksville, TX 75426-2982 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831691922 | Fpacp Clarksville LLC | Skilled Nursing Facility | 2407 West Main Highway 82, Clarksville, TX 75426 | 2018-03-05 |
1225415565 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426 | 2015-05-06 |
1205235835 | Sandra Michelle Batts | Adult Companion | 205 Lovett, Clarksville, TX 75426 | 2014-08-20 |
1548690100 | Brian Agnew | Counselor | 106 N. Mlk, Clarksville, TX 75426 | 2013-11-19 |
1528252046 | Thomas Virgil Ragan Jr. | Dentist | 985 Farm Market Rd 1159, Clarksville, TX 75426 | 2007-08-28 |
1912914151 | Carrie Diane Hinton | Nurse Practitioner | 106 North Martin Luther King Blvd, Clarksville, TX 75426 | 2006-08-01 |
1326077041 | Red River Emergency Medicine Associates Pa | Physician Assistant | 3000 Hwy 82 W, Clarksville, TX 75426 | 2006-07-03 |
1922048693 | Kyle J Keeley | Physical Therapist | 2206-b West Main, Hwy 82, Clarksville, TX 75426 | 2006-06-08 |
1043395270 | Cvs Pharmacy Inc | Pharmacy | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2006-10-26 |
1467761536 | Misty Dawn Perez | Pharmacist | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2010-10-06 |
Find all providers in zip 75426 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
1497367981 | Kinjal Bhatt | Nurse Practitioner | 5805 Wild Orange Gate, Clarksville, MD 21029-1657 | 2020-08-18 |
1568087625 | Holly A Woosley | Nurse Practitioner | 746 W Kenwood Ave, Clarksville, IN 47129-2545 | 2020-06-14 |
1881222461 | Michelle G Rowan | Nurse Practitioner | 13515 Highland Rd, Clarksville, MD 21029-1427 | 2020-03-30 |
1669026258 | Ashley M Hettinger | Nurse Practitioner | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-07-31 |
1093375040 | Scarlett Hancock | Nurse Practitioner | 116 Commerce St, Clarksville, TN 37040-3641 | 2019-06-20 |
1336702067 | Leslea Renae Streetman | Nurse Practitioner | 525 Rosewood Dr, Clarksville, TN 37043-5126 | 2019-04-18 |
1629556980 | Julie Mcintosh | Nurse Practitioner | 1690 Fort Campbell Blvd, Clarksville, TN 37042-7531 | 2018-07-30 |
1720576218 | Chelsey Meek | Nurse Practitioner | 4101 Lena Ct, Clarksville, TN 37043-7625 | 2018-04-30 |
1316440696 | Kayla Vanden Hull | Nurse Practitioner | 3147 Cross Ridge Dr, Clarksville, TN 37040-5799 | 2018-03-13 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 75426 |
Please comment or provide details below to improve the information on KERRI HUDDLESTON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.