NPI 1326001207
Misty Depriest Hudgins, MSATCL
Practice location
- Address
- 2130 S Branner Avenue Cn Box 72030 -, Jefferson City, TN 37760
- Phone
- (865) 471-4846
- Fax
- (865) 471-4790
- Mailing address
- 1709 McCown Ave, Jefferson City, TN 37760-2127
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1326001207
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2006
- Record last updated
- 11 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.