Basic Information
| Provider Information | |||||||||
| NPI: | 1073906715 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUTCHINS | ||||||||
| FirstName: | ADAM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 158 ZILLICOA ST | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288011079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282549494 | ||||||||
| FaxNumber: | 8282500890 | ||||||||
| Practice Location | |||||||||
| Address1: | 158 ZILLICOA ST | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288011079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282549494 | ||||||||
| FaxNumber: | 8282500890 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2015 | ||||||||
| LastUpdateDate: | 03/05/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 231615 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 363LA2200X | 231615 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 364SP0808X | 231615 | NC | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 231615 | 01 | NC | RN PERMANENT LICENSE | OTHER |