Individual
MOLLY JO HUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8010
Mailing address
10133 COLLEGE HILL RD, OOLTEWAH, TN 37363-8492
(423) 645-1589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186178
TN
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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