Provider Demographics
NPI:1154144756
Name:HUDDLESTON, JAMIE VICTORIA (ACNPC-AG)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:VICTORIA
Last Name:HUDDLESTON
Suffix:
Gender:
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 MOUNT MORIAH RD
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-3644
Mailing Address - Country:US
Mailing Address - Phone:205-362-0448
Mailing Address - Fax:
Practice Address - Street 1:UAB ST CLAIR
Practice Address - Street 2:7063 VETERANS PARKWAY
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125
Practice Address - Country:US
Practice Address - Phone:205-362-0448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-137976208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist