Provider Demographics
NPI:1891112199
Name:HOOTON, DEANA (NP)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:
Last Name:HOOTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DEANA
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:313 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-1347
Mailing Address - Country:US
Mailing Address - Phone:615-792-1911
Mailing Address - Fax:615-792-0619
Practice Address - Street 1:313 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1347
Practice Address - Country:US
Practice Address - Phone:615-792-1911
Practice Address - Fax:615-792-0619
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000018451363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner