Healthcare Provider Details

I. General information

NPI: 1740318419
Provider Name (Legal Business Name): DEBORAH LEE HUTCHISON CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MURPHREE AVE
CENTERVILLE TN
37033-1418
US

IV. Provider business mailing address

1786 HIGHWAY 48 S
CENTERVILLE TN
37033-4521
US

V. Phone/Fax

Practice location:
  • Phone: 931-729-3516
  • Fax: 931-729-5029
Mailing address:
  • Phone: 931-729-0138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: