Individual provider · Type 1 NPI
Kathy Diane Butler, NURSE PRACTITIONER
Family Nurse Practitioner · Jackson, TN
NPI number
1376710624
Active
Practice location
7 Laplace Dr
Jackson, TN 38305-3514
Mailing address
111 Front St
Henderson, TN 38340-2313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 42136 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376710624
Kathy Diane Butler, NURSE PRACTITIONER's National Provider Identifier is 1376710624, issued on May 14, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, TN. The record was last updated on Dec 9, 2025.