Healthcare Provider Details

I. General information

NPI: 1164132593
Provider Name (Legal Business Name): JULIA KUTI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 E COMMERCE ST
LEWISBURG TN
37091-3340
US

IV. Provider business mailing address

PO BOX 681449
FRANKLIN TN
37068-1449
US

V. Phone/Fax

Practice location:
  • Phone: 615-790-0567
  • Fax: 615-595-8030
Mailing address:
  • Phone: 615-790-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000266128
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number34777
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: