Provider Demographics
NPI:1740318419
Name:HUTCHISON, DEBORAH LEE (CNA)
Entity type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:LEE
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 HIGHWAY 48 S
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37033-4521
Mailing Address - Country:US
Mailing Address - Phone:931-729-0138
Mailing Address - Fax:
Practice Address - Street 1:111 MURPHREE AVE
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37033-1418
Practice Address - Country:US
Practice Address - Phone:931-729-3516
Practice Address - Fax:931-729-5029
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide