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Ketsana Bouttavong, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Nashville, Tennessee
NPI 1932737954

Ketsana Bouttavong is a Psychiatric/Mental Health Nurse Practitioner based in Nashville, TN and is specialized in Psychiatric/Mental Health. Ketsana Bouttavong practices in Nashville, TN and has the professional credentials of PMHNP-BC. The NPI Number for Ketsana Bouttavong is 1932737954 and holds a License No. 27016 (Tennessee).

The current practice location address for Ketsana Bouttavong is 1310 24Th Ave S, Nashville, TN and can be reached out via phone at 615-327-4751.

Location: 1310 24Th Ave S, Nashville, TN, 37212-2637
person
Provider Profile Details
NPI Number
1932737954
Provider Name
Ketsana Bouttavong
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1310 24Th Ave S, Nashville, TN, 37212-2637
Phone Number
615-327-4751
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1310 24Th Ave S
City
State
Zip
37212-2637
Phone Number
615-327-4751
Fax Number
person
Provider Business Mailing Address Details
Address
1310 24Th Ave S
City
State
Zip
37212-2637
Phone Number
615-327-4751
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
27016 (Tennessee)
Definition
Definition to come...
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