Individual provider Active NPI

Jennifer Beth Huffman, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1083334593
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32323 Issued in TN
Practice address
3209 Bristol Hwy
Johnson City, TN 37601
Phone
(866) 779-1964
Fax
(866) 779-1964
NPI assigned
Sep 2, 2022
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024185573 VA
Nurse Practitioner 363L00000X 32323 TN
Family Nurse Practitioner 363LF0000X 32323 TN Primary

Addresses

Primary practice location

3209 Bristol Hwy
Johnson City, TN 37601

Mailing address

2717 East Oakland Avenue
Johnson City, TN 37601-1843
Phone (866) 779-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000551 TN Practitioner - Nurse Practitioner 4183000599 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

2035 E Stonebrook PL
Kingsport, TN 37660-4000
Phone (423) 246-8934

2511 Wesley St
Johnson City, TN 37601-1723
Phone (423) 952-1700

701 W Main Blvd
Church Hill, TN 37642-3915
Phone (423) 357-7178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32323TNMDNurse Practitioner
0024185573VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Sep 5, 2024 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC Nurse Practitioner CurrentSince Feb 26, 2024 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Oct 15, 2024 Accepting new patients
BH Services Southeast 1 PC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Feb 26, 2024 Accepting new patients
Cogent Healthcare of Tennessee, PC CurrentSince May 6, 2023 Accepting new patients
Renuven Health Partners of Georgia PC PastSince Sep 1, 2022 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

701 W Main Blvd
Church Hill, TN 37642
Phone (423) 357-7178

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

2511 Wesley St
Johnson City, TN 37601
Phone (423) 431-1700

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

2035 E Stonebrook Pl
Kingsport, TN 37660
Phone (423) 224-3660

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

450 Piney Forest Rd
Danville, VA 24540
Phone (434) 799-1565

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1083334593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAST OAKLAND AVENUE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "866-779-1964",
            "fax_number": "866-779-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 BRISTOL HWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "telephone_number": "866-779-1964",
            "fax_number": "866-779-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "JENNIFER",
        "middle_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024185573",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32323",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.