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Individual

MRS. STEPHANIE ELIZABETH BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
7345 COURAGE WAY STE 1, CHATTANOOGA, TN 37421-1555
(423) 602-9797
(423) 602-9796
Mailing address
PO BOX 24927, CHATTANOOGA, TN 37422-4927
(423) 643-2576
(423) 648-4570

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229228
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30996
TN

Other

Enumeration date
11/21/2019
Last updated
05/09/2022
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