Healthcare Provider Details

I. General information

NPI: 1013613686
Provider Name (Legal Business Name): JANA TOUTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 WALKER RD STE B
JACKSON TN
38305-7417
US

IV. Provider business mailing address

340 SICKLER RD
HOHENWALD TN
38462-5080
US

V. Phone/Fax

Practice location:
  • Phone: 931-306-2647
  • Fax: 903-459-6349
Mailing address:
  • Phone: 931-306-2647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number207501
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01230391
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33380
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: