Basic Information
Provider Information
NPI: 1972762771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGGINS
FirstName: KARA JANE
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 40480
Address2:  
City: MOBILE
State: AL
PostalCode: 366400480
CountryCode: US
TelephoneNumber: 2514705842
FaxNumber: 2514705809
Practice Location
Address1: 307 N UNIVERSITY BLVD
Address2: TRP BLDG. SUITE 1175
City: MOBILE
State: AL
PostalCode: 366883053
CountryCode: US
TelephoneNumber: 2514148101
FaxNumber: 2514148227
Other Information
ProviderEnumerationDate: 06/06/2008
LastUpdateDate: 12/03/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X1-094808ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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