Individual
KELISSA HUGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
680 MAPLE ST, CHATTAHOOCHEE, FL 32324-1826
(850) 759-9223
Mailing address
PO BOX 329, GRETNA, FL 32332-0329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11029251
FL
Other
Enumeration date
11/22/2023
Last updated
04/08/2024
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