Organization
NPONTHEGO BY D ONEIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BROOKE CANTRELL (CREDENTIALING SPECIALIST)
(423) 413-3832
Entity
Organization
Contact information
Practice address
7161 LEE HWY STE 400, CHATTANOOGA, TN 37421-8604
(423) 708-8670
(423) 708-8671
Mailing address
7161 LEE HWY STE 400, CHATTANOOGA, TN 37421-8604
(423) 834-2756
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
10/20/2025
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