Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketsana Bouttavong, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932737954

Ketsana Bouttavong, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Nashville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1310 24th Ave S
Nashville, TN 37212-2637
Phone: (615) 327-4751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 27016 (TN)

Record details

NPI number1932737954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

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