Individual
SAMANTHA C BOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2525 DESALES AVE STE F1009, CHATTANOOGA, TN 37404-1161
(423) 624-5200
(423) 697-2320
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
39041
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39041
APN LICENSE
TN
Enumeration date
07/15/2025
Last updated
07/15/2025
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