Provider Demographics
NPI:1841777927
Name:HUTCHINGS, MARA MAXWELL (NP-C)
Entity Type:Individual
Prefix:
First Name:MARA
Middle Name:MAXWELL
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 COWAN HWY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2627
Mailing Address - Country:US
Mailing Address - Phone:931-967-7227
Mailing Address - Fax:931-967-7267
Practice Address - Street 1:2210 COWAN HWY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2627
Practice Address - Country:US
Practice Address - Phone:931-967-7227
Practice Address - Fax:931-967-7267
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24477363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care