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Individual

MR. JASON HENRY HUDDLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1800 MEDICAL CENTER PKWY, SUITE 200, MURFREESBORO, TN 37129-2567
(615) 896-6800
(615) 695-1483
Mailing address
608 NORRIS AVE, NASHVILLE, TN 37204-3708
(615) 695-1432
(615) 695-1483

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1719
TN
363A00000X
Physician Assistant
PA9101707
FL
363AM0700X
Medical Physician Assistant
PA1719
TN
363AS0400X
Surgical Physician Assistant
Primary
PA1719
TN

Other

Enumeration date
08/09/2006
Last updated
01/29/2018
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