Healthcare Provider Details

I. General information

NPI: 1841873387
Provider Name (Legal Business Name): REBEKAH ANN HUTCHISON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH ANN COON PA-C

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 W MAIN ST
LEBANON TN
37087-3100
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-5000
  • Fax:
Mailing address:
  • Phone: 615-322-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4782
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: