| Doctor Name: | MS. JUANITA KAY LOUTHAN |
| NPI Number: | 1912043548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN0000110286 |
| Business Practice Address: | 620 Davis Dr New Tazewell, TN - 378252152 |
| Business Phone Number: | 4236264291 |
| Business Fax Number: | 4236262525 |
| Mailing Address: | 417 Melody Ln, NEW TAZEWELL |
| State: | TN |
| Postal Code: | 378256420 |
| Phone Number: | 4236260402 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN0000110286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |