Individual
NISHAMARY ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 MOCCASIN BEND ROAD, CHATTANOOGA, TN 37405-6112
(423) 265-2271
Mailing address
2316 SARGENT DALY DR, CHATTANOOGA, TN 37421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000022720
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000022720
FNP
TN
05
—
APN0000022720
—
TN
Enumeration date
08/21/2017
Last updated
08/21/2017
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