Individual
DAMON PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
251 N LYERLY ST, STE 100, CHATTANOOGA, TN 37404-2743
(423) 697-2000
(423) 697-2118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24967
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24967
APRN
TN
01
—
F09180534
AMERICAN ACADEMY OF NURSE PRACTITIONERS-FNP CERTIFICATION
—
Enumeration date
10/12/2018
Last updated
08/16/2022
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