Healthcare Provider Details

I. General information

NPI: 1861802407
Provider Name (Legal Business Name): MEREDITH HUTTON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 08/09/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2367 HWY 43 S
LAWRENCEBURG TN
38464
US

IV. Provider business mailing address

PO BOX 435
LEOMA TN
38468-5209
US

V. Phone/Fax

Practice location:
  • Phone: 931-766-2027
  • Fax: 855-576-2925
Mailing address:
  • Phone: 931-766-2027
  • Fax: 855-576-2925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN18448
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: