Individual
MRS. AUDREY JOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5038 HUNTER RD STE 102, OOLTEWAH, TN 37363-8316
(423) 910-6100
(423) 910-6109
Mailing address
5038 HUNTER RD STE 102, OOLTEWAH, TN 37363-8316
(423) 910-6100
(423) 910-6109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4888
STATE LICENSE
TN
Enumeration date
12/22/2021
Last updated
02/02/2024
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