Provider Demographics
NPI:1144909292
Name:HUTSON, HUNTER LYNNETTE (PA-C)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:LYNNETTE
Last Name:HUTSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 SPRINGWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4467
Mailing Address - Country:US
Mailing Address - Phone:979-216-7895
Mailing Address - Fax:
Practice Address - Street 1:524 BEAUMONT RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4443
Practice Address - Country:US
Practice Address - Phone:910-829-6587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant