Individual ProviderJiajia HuangNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address501 20th St Ste 503, Knoxville, TN 37916-1832(865) 331-4321PECOS EnrollmentBased on the most recent information from CMS, provider Jiajia Huang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003451378Provider TypeIndividualFull NameHuang, JiajiaCredentialAPRN, NP-CGenderFemaleSole ProprietorYesEnumeration Date11/11/2019Last Updated11/2/2021Contact InformationPractice LocationPractice Address501 20th St Ste 503, Knoxville, TN 37916-1832Phone(865) 331-4321FaxUnlisted FaxMailing LocationMailing Address501 20th St Ste 503, Knoxville, TN 37916-1832Phone(865) 331-4321FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense25739Tennessee