Individual
MISS LORI M BOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1329 WEST ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3728
(423) 581-8844
(423) 318-3050
Mailing address
1329 WEST ANDREW JOHNSON HIGHWAY, MORRISTOWN, TN 37814-3728
(423) 581-8844
(423) 318-3050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000015681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528819
—
TN
Enumeration date
04/13/2012
Last updated
12/26/2012
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