Individual
LACINDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
244 COATSLAND DR, JACKSON, TN 38301-3948
(731) 422-4642
(731) 422-2277
Mailing address
244 COATSLAND DR, JACKSON, TN 38301-3948
(731) 422-4642
(731) 422-2277
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN00000682525
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3908877
—
TN
Enumeration date
10/04/2005
Last updated
08/23/2011
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