Individual
HEATHER HUGULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2147 WILMA RUDOLPH BLVD STE 102, CLARKSVILLE, TN 37040-6798
(615) 988-2014
Mailing address
2147 WILMA RUDOLPH BLVD STE 102, CLARKSVILLE, TN 37040-6798
(615) 988-2014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00250
MS
363AM0700X
Medical Physician Assistant
Primary
5808
TN
363AM0700X
Medical Physician Assistant
PA00250
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07877328
—
MS
Enumeration date
08/24/2015
Last updated
07/07/2026
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