Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 11576 | TN |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 143884 | TN |
NPI | 1013971803 |
---|---|
Provider Name | Julieanne Berkau Hutchison |
First Address | Nashville, TN 37232-8774 |
Second Address | Nashville, TN 37232-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 15/10/2020 |