Bouton, Lori M

Bouton, Lori M is an sole proprietor health care provider with primary practice located at 1329 West Andrew Johnson Hwy , Morristown TN 37814-3728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bouton, Lori M can be contacted via phone (423) 581-8844.

Contact Information

Primary practice address
1329 West Andrew Johnson Hwy Morristown TN 37814-3728
Phone: (423) 581-8844
Fax: (423) 318-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000015681 Tennessee

Profile Details

NPI number 1265799340
LBN Legal business name Bouton, Lori M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2012
Last updated Dec 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265799340 NPPES
Tennessee MEDICAID 1528819

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