Individual
TABETHA M EWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2341 MCCALLIE AVE STE 200, CHATTANOOGA, TN 37404-3241
(423) 629-4106
(423) 629-4116
Mailing address
2341 MCCALLIE AVE STE 200, CHATTANOOGA, TN 37404-3241
(423) 629-4106
(423) 629-4116
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22838
TN
Other
Enumeration date
06/29/2017
Last updated
08/15/2017
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