Provider Demographics
NPI:1972331577
Name:HUTCHINSON, CHRISTY BETH (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:BETH
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 W PINE ST
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-3309
Mailing Address - Country:US
Mailing Address - Phone:985-852-2317
Mailing Address - Fax:985-956-2979
Practice Address - Street 1:156 W PINE ST
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3309
Practice Address - Country:US
Practice Address - Phone:985-956-2979
Practice Address - Fax:985-956-2979
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA236247363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health