Individual provider · Type 1 NPI

Blake Huddleston, PA-C

Medical Physician Assistant · Cookeville, TN

NPI number 1700302171 Active

Practice location

340 N Cedar Ave
Cookeville, TN 38501-2421

Call (931) 783-5353 Map

Mailing address

140 W 7th St
Cookeville, TN 38501-1726

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X3389 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1700302171

Blake Huddleston, PA-C's National Provider Identifier is 1700302171, issued on Aug 17, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cookeville, TN. The record was last updated on Oct 25, 2023.