Individual
JOANNA NORDLANDER HUCKABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
(336) 882-5466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1893
NC
367500000X
Certified Registered Nurse Anesthetist
54240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051855
—
NC
Enumeration date
05/23/2006
Last updated
09/18/2025
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