Provider Demographics
NPI:1841814332
Name:TUTEN, RANDI MCELHANEY (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:MCELHANEY
Last Name:TUTEN
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-2611
Mailing Address - Country:US
Mailing Address - Phone:931-424-7338
Mailing Address - Fax:
Practice Address - Street 1:625 W MADISON ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-2611
Practice Address - Country:US
Practice Address - Phone:931-982-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily