Individual
LAKENNYA S HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
23476 W US HIGHWAY 27, HIGH SPRINGS, FL 32643-2108
(386) 454-0568
(352) 224-7899
Mailing address
23343 NW COUNTY ROAD 236, HIGH SPRINGS, FL 32643-9669
(386) 454-0698
(386) 454-0690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9247133
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9247133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004839600
—
FL
01
—
12529446
CAQH
—
01
—
Y0H3P
BCBS
—
Enumeration date
03/23/2012
Last updated
09/09/2019
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