Individual provider · Type 1 NPI

Jacob Anthony Huddleston

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1003760547 Active

Practice location

4873 E 12th St
Tucson, AZ 85711-3603

Call (310) 259-1861 Map

Mailing address

272 White Bark Ln
Simi Valley, CA 93065-4989

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Tucson

See all in Tucson →

About NPI 1003760547

Jacob Anthony Huddleston's National Provider Identifier is 1003760547, issued on Feb 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on Feb 23, 2026.