Individual
MISS ALEXIS NICOLE BODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5120 HIGHWAY 153, HIXSON, TN 37343-4520
(866) 389-2727
Mailing address
2511 MAHALA LN, CHATTANOOGA, TN 37421-1609
(770) 653-5304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000019205
TN
363LF0000X
Family Nurse Practitioner
RN234875
GA
Other
Enumeration date
09/19/2014
Last updated
11/06/2014
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