# MR. JEREMY WAYNE HUGGINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790389443
- **Gender:** Man
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | 2018022453 | MO | Yes |
| 163WR0400X | Rehabilitation Registered Nurse | 2018022453 | MO | — |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 11/23/2020