Provider Demographics
NPI:1427653898
Name:HUFF, MEGAN RAY (FNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RAY
Last Name:HUFF
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 EASTGATE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-6018
Mailing Address - Country:US
Mailing Address - Phone:615-900-5451
Mailing Address - Fax:
Practice Address - Street 1:6650 EASTGATE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-6018
Practice Address - Country:US
Practice Address - Phone:615-900-5451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN237112163W00000X
TN32675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse