Provider Demographics
NPI:1205151156
Name:BUTTRAM, ALISON (FNP)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:BUTTRAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5870 HIGHWAY 153 # 122
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5826
Mailing Address - Country:US
Mailing Address - Phone:423-243-3342
Mailing Address - Fax:
Practice Address - Street 1:5870 HIGHWAY 153 # 122
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5826
Practice Address - Country:US
Practice Address - Phone:423-243-3342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14792363LF0000X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily