Individual
CASEY BAXTER-WILMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E 11TH ST, CHATTANOOGA, TN 37403-3101
(423) 481-9760
(423) 770-9081
Mailing address
1908 OAK ST, CHATTANOOGA, TN 37404-2632
(513) 255-5959
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
32592
TN
364SA2200X
Adult Health Clinical Nurse Specialist
32592
TN
Other
Enumeration date
09/14/2022
Last updated
06/18/2025
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