Organization
JENNIFER HUDDLESTON, PHYSICIAN ASSISTANT PC
Active
Other names
Thrive Wellness Center For Women
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUDDLESTON PA-C (PHYSICIAN ASSISTANT)
(818) 470-6873
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR STE 200, GLENDALE, CA 91206-4140
(818) 470-6873
Mailing address
15500 MARILLA ST, NORTH HILLS, CA 91343-2127
(818) 470-6873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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