Individual
MS. D. MARIE STOUDEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8180
(209) 209-8191
Mailing address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8180
(209) 209-8191
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
77193
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN77193
LICENSE
TN
Enumeration date
04/10/2007
Last updated
07/08/2007
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