Basic Information
| Provider Information | |||||||||
| NPI: | 1285141085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUGGINS | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 114 W 7TH ST STE 900 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787013013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8882852269 | ||||||||
| FaxNumber: | 8882852269 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 HOULTON ST | ||||||||
| Address2: | |||||||||
| City: | PATTEN | ||||||||
| State: | ME | ||||||||
| PostalCode: | 047653035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8663665842 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2018 | ||||||||
| LastUpdateDate: | 02/09/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 24077 | TN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health | 363LP0808X | CNP221018 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.