Individual
JASON DANIEL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
200 CENTRAL AVE, CHATTANOOGA, TN 37403-1506
(423) 778-7000
Mailing address
1322 DISTRICT LN APT 316, CHATTANOOGA, TN 37406-1885
(760) 885-3710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
281829
TN
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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