| Doctor Name: | MRS. TIFFANY ANN HUFFMAN |
| NPI Number: | 1194051433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 2009032381 |
| Business Practice Address: | 104 S. Main Carl Junction, MO - 64834 |
| Business Phone Number: | 4173478656 |
| Business Fax Number: | 4173478658 |
| Mailing Address: | Po Box 3810, JOPLIN |
| State: | MO |
| Postal Code: | 648033810 |
| Phone Number: | 4173478656 |
| Fax Number: | 4173478658 |
| NPI Enumeration Date: | 10/21/2009 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2009032381 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |