Individual
DR. JONATHAN WILLIAM BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, M.ED.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01070077A
IN
207Q00000X
Family Medicine Physician
2025-00264
NC
207Q00000X
Family Medicine Physician
26897
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
01070077A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
26897
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4121708
BLUE CROSS BLUE SHILD
TN
Enumeration date
08/30/2006
Last updated
09/03/2025
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