Provider Demographics
NPI:1851781496
Name:TUTTLE, SCOTTIE LAUREN (NP-C)
Entity Type:Individual
Prefix:
First Name:SCOTTIE
Middle Name:LAUREN
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:SCOTTIE
Other - Middle Name:LAUREN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1016 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2469
Mailing Address - Country:US
Mailing Address - Phone:770-464-0280
Mailing Address - Fax:770-464-0233
Practice Address - Street 1:1016 E SPRING ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2469
Practice Address - Country:US
Practice Address - Phone:770-464-0280
Practice Address - Fax:770-464-0233
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN176628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily