Individual
CAITLYN MICHELLE CHAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
525 W BROADWAY AVE, MARYVILLE, TN 37801-4782
(865) 268-4265
(865) 268-4266
Mailing address
30 BURTON HILLS BLVD STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 208-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000025624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018081259
ANCC
—
Enumeration date
04/19/2019
Last updated
06/17/2019
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