Individual
SARA-PAGE RED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
HOSPITALIST / NEUROSCIENCE, 2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 495-2525
(423) 495-2625
Mailing address
725 GLENWOOD DR STE E790, CHATTANOOGA, TN 37404-1178
(423) 206-4140
(423) 206-4141
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN276352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN276352
RN
GA
Enumeration date
03/20/2019
Last updated
04/21/2022
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