JEANETTE THERESA HUDDLESTON (NPI# 1427250216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427250216 |
| Entity Type | Individual |
| Full Name | JEANETTE THERESA HUDDLESTON |
| Credential | R.N. |
| Practice Address |
20759 Us-31s Interlochen MI 49643 |
| Mailing Address |
20759 Us-31 Interlochen MI 49643 |
| Practice Telephone | 2312757453 |
| Mailing Telephone | 2312757453 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704067890 | MI | Nursing Service Providers |
| Street Address |
20759 US-31S |
| City | INTERLOCHEN |
| State | MI |
| Zip Code | 49643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346704517 | Thompson Pharmacy, Inc. | Pharmacy | 2072 M-137, Interlochen, MI 49643 | 2019-01-22 |
| 1861544868 | Northwest Synergy Inc | Pharmacist | 2100 Old Grade Ave., Box 67, Interlochen, MI 49643 | 2007-01-18 |
| 1669524948 | Township of Green Lake Grand Traverse County | Ambulance | 9394 10th St, Interlochen, MI 49643 | 2007-01-17 |
| 1013072842 | Debra E Lewis Dds, PC | Dentist | 2120 M137, Interlochen, MI 49643 | 2006-12-22 |
| 1871784868 | Debra E. Lewis | Dentist | 2120 M137, Interlochen, MI 49643 | 2007-08-06 |
| 1013924919 | A. Barry Lishawa | Dentist | 2120 M-137, Interlochen Professional Building, Interlochen, MI 49643-0095 | 2006-08-02 |
| 1174843353 | Interlochen Center for The Arts | Nurse Practitioner | 9900 Diamond Park Road, Health Services, Interlochen, MI 49643-0199 | 2010-06-10 |
| 1669853354 | Beth Oster | Midwife | 2921 Gonder Rd, Interlochen, MI 49643-8414 | 2015-06-18 |
| 1659757052 | Aubrey Jabour | Physical Therapist | 10296 Betsie Creek Dr, Interlochen, MI 49643-9199 | 2015-08-07 |
| 1417902057 | Crystal Lake Clinic P.C. | Pediatrics | 1975 Stirling Dr, Interlochen, MI 49643-9264 | 2006-05-23 |
| Find all providers in zip 49643 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | INTERLOCHEN |
| Zip Code | 49643 |
Please comment or provide details below to improve the information on JEANETTE THERESA 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.