Provider Demographics
NPI:1780009977
Name:HUTCHISON, AUTUMN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AUTUMN
Middle Name:
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 BURFORD RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-7948
Mailing Address - Country:US
Mailing Address - Phone:615-756-8981
Mailing Address - Fax:
Practice Address - Street 1:2011 BURFORD RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-7948
Practice Address - Country:US
Practice Address - Phone:615-756-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000017999363L00000X
TNRN0000141528163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse