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

Matthew Lee Luttrell, APN

Individual provider Nurse Practitioner · NPI 1174157515

Matthew Lee Luttrell, APN is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2019, 7 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2020
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 422-0213
Fax: (731) 422-5743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 27140 (TN)

Record details

NPI number1174157515
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedFebruary 25, 2020
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson