Provider Demographics
NPI:1841348950
Name:HUTTO, RHONDA CARTER (NNP)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:CARTER
Last Name:HUTTO
Suffix:
Gender:F
Credentials:NNP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 S SUNSET RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:27592-8432
Mailing Address - Country:US
Mailing Address - Phone:252-414-4481
Mailing Address - Fax:
Practice Address - Street 1:820 PRUDENTIAL DR
Practice Address - Street 2:UFJAX - DEPT. OF PEDIATRICS/NEONATOLOGY
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8210
Practice Address - Country:US
Practice Address - Phone:904-202-2330
Practice Address - Fax:904-244-3401
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC082772363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003145647AMedicaid