Provider Demographics
NPI:1497635148
Name:HUTTON, DEANNA L (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:L
Last Name:HUTTON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 JASMINE FOX LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-4513
Mailing Address - Country:US
Mailing Address - Phone:817-291-3563
Mailing Address - Fax:
Practice Address - Street 1:3905 JASMINE FOX LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76005-4513
Practice Address - Country:US
Practice Address - Phone:817-291-3563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX702506163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant