Individual
VICTORIA EVELYN OTTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1609 JONES ST, SPRINGFIELD, TN 37172-3718
(615) 433-8201
Mailing address
1421B 15TH AVE S, NASHVILLE, TN 37212-3012
(248) 838-8274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6339
TN
363AM0700X
Medical Physician Assistant
—
TN
Other
Enumeration date
06/04/2025
Last updated
06/20/2025
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