Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | RN145506 | GA |
NPI | 1033227939 |
---|---|
Provider Name | Joanna M Huff |
First Address | Alpharetta, GA 30009-3117 |
Second Address | Alpharetta, GA 30009-1508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 12/08/2021 |