Provider Demographics
NPI:1093532665
Name:HUFF, JESSICA (OH STNA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:HUFF
Suffix:
Gender:F
Credentials:OH STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9450 STATE ROUTE 170
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:OH
Mailing Address - Zip Code:44455-9761
Mailing Address - Country:US
Mailing Address - Phone:330-831-0026
Mailing Address - Fax:
Practice Address - Street 1:9450 STATE ROUTE 170
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:OH
Practice Address - Zip Code:44455-9761
Practice Address - Country:US
Practice Address - Phone:330-831-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide