Provider Demographics
NPI:1669077970
Name:HUTCHISON, MALLORY MORGAN (RN, BSN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:MALLORY
Middle Name:MORGAN
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 SUNNYMEADE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2528
Mailing Address - Country:US
Mailing Address - Phone:205-529-1194
Mailing Address - Fax:
Practice Address - Street 1:1130 SUNNYMEADE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2528
Practice Address - Country:US
Practice Address - Phone:205-529-1194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN177432163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant