Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | AG06170178 | MS |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 902145 | MS |
NPI | 1003322900 |
---|---|
Provider Name | Leonna Huhn |
First Address | Tylertown, MS 39667-6690 |
Second Address | Liberty, MS 39645-7295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2017 |
Last Update Date | 12/06/2019 |