MEDICARE: DR. AUBREY JENNIFER BUTLER AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	1573	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548575590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUBREY JENNIFER BUTLER AU.D.

Provider Business Mailing Address
First Line	:	782 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8941
Country	:	US
Telephone Number	:	931-645-3552
Fax Number	:

Provider Business Practice Location Address
First Line	:	782 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8941
Country	:	US
Telephone Number	:	931-645-3552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2010
Last Update Date	:	01/27/2026

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