KETSANA BOUTTAVONG PMHNP-BC NPI 1932737954

NPI Information

NPI: 1932737954
Provider Name: KETSANA BOUTTAVONG, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1310 24TH AVE S
NASHVILLE, TN
ZIP 37212
Phone: (615) 327-4751
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Ketsana Bouttavong, PMHNP-BC is a psychiatric/mental health nurse practitioner in Nashville, TN. Ketsana Bouttavong, PMHNP-BC NPI is 1932737954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1310 24TH AVE S
NASHVILLE, TN
ZIP 37212-637
Phone: (615) 327-4751

The enumeration date for this NPI number is 3/27/2020 and was last updated on 9/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	27016	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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