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Individual

CASEN LANE HUTCHINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
2080 S FRONTAGE RD STE 109, VICKSBURG, MS 39180-5882
(601) 654-7070
(601) 696-6233
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
918758
MS
363LA2100X
Acute Care Nurse Practitioner
907719
MS

Other

Enumeration date
02/21/2025
Last updated
10/03/2025
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