Individual
KELLY HUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-BC, PMHNP-BC
Contact information
Practice address
27524 CASHFORD CIR STE 102, WESLEY CHAPEL, FL 33544-6947
(815) 212-1478
(813) 906-7789
Mailing address
27524 CASHFORD CIR STE 102, WESLEY CHAPEL, FL 33544-6947
(815) 212-1478
(813) 906-7789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9371614
FL
363LG0600X
Gerontology Nurse Practitioner
APN.0997892-NP
CO
363LG0600X
Gerontology Nurse Practitioner
ARNP9371614
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0997892-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9371614
FL
363LP2300X
Primary Care Nurse Practitioner
APN.0997892-NP
CO
363LP2300X
Primary Care Nurse Practitioner
ARNP9371614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010677300
—
FL
01
—
ARNP9371614
STATE LICENSURE
FL
01
—
P01679243
RR MEDICARE
FL
Enumeration date
02/06/2014
Last updated
11/28/2023
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