MEDICARE: ANITA A HUTCHESON LPN

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	164W00000X	Licensed Practical Nurse	LPN098111	GA

General Provider Information

NPI Number	:	1891625117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA A HUTCHESON LPN

Provider Business Mailing Address
First Line	:	201 DONEHOO ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-5120
Country	:	US
Telephone Number	:	912-489-7827
Fax Number	:	912-225-3791

Provider Business Practice Location Address
First Line	:	201 DONEHOO ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-5120
Country	:	US
Telephone Number	:	912-489-7827
Fax Number	:	912-225-3791

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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