Provider Demographics
NPI:1669071668
Name:CAMERON HUTCHINSON, KARINE ERICA (APRN)
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:ERICA
Last Name:CAMERON HUTCHINSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-8972
Mailing Address - Country:US
Mailing Address - Phone:432-230-4010
Mailing Address - Fax:
Practice Address - Street 1:250 VILLAGE CENTER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9104
Practice Address - Country:US
Practice Address - Phone:678-289-0508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008879363LA2100X
GARN324933363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care