Individual provider · Type 1 NPI
Jason Henry Huddleston, PA-C
Surgical Physician Assistant · Murfreesboro, TN
NPI number
1073524906
Active
Practice location
1800 Medical Center Pkwy, Suite 200
Murfreesboro, TN 37129-2567
Fax (615) 695-1483
Mailing address
608 Norris Ave
Nashville, TN 37204-3708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA1719 (TN) |
| Physician Assistant | 363A00000X | PA9101707 (FL) |
| Medical Physician Assistant | 363AM0700X | PA1719 (TN) |
| Surgical Physician Assistant Primary | 363AS0400X | PA1719 (TN) |
Surgical Physician Assistant: Definition to come...
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About NPI 1073524906
Jason Henry Huddleston, PA-C's National Provider Identifier is 1073524906, issued on Aug 9, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Murfreesboro, TN. The record was last updated on Jan 29, 2018.