DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BLAKE HUDDLESTON, PA-C

Active

MR. BLAKE HUDDLESTON, PA-C is a Medical Physician Assistant healthcare provider located in COOKEVILLE, Tennessee. NPI 1700302171 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · COOKEVILLE, TN

Registration Details

NPI Number
1700302171
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2017 (9.0379657471728 yrs)
Last Updated
Oct 25, 2023
License
3389 (TN)

Practice Information

Address
340 N CEDAR AVE
COOKEVILLE, TN, 385012421
Browse TN providers · Browse ZIP 38501
Phone
9317835353
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in COOKEVILLE, TN

Name Credential NPI
MR. TIMOTHY E VIVIAN PA 1679568968
ELIZABETH GAIL CICUTTO P.A. 1356307417
GENE DEWAYNE ADAMS PA 1508961301
JAMES M VANCE PA 1144317801
MRS. LACIE DILLON PA-C 1083033195
BRADLEY MAXWELL PA-C 1912301771
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.