Healthcare Provider Details

I. General information

NPI: 1114605144
Provider Name (Legal Business Name): ASHLEY ERIN HUTCHINS MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 ENERGY PKWY UNIT 2
LAFAYETTE LA
70508-3815
US

IV. Provider business mailing address

4 PEBBLESTONE DR
LAFAYETTE LA
70508-4923
US

V. Phone/Fax

Practice location:
  • Phone: 337-205-9725
  • Fax:
Mailing address:
  • Phone: 337-277-7495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number231235
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: