Individual
CATHLEEN MARIE CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
979 E 3RD ST STE C-300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
Mailing address
4778 ROSE BRIAR LN, OOLTEWAH, TN 37363-7228
(423) 240-0236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN27440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN27440
TN BOARD OF NURSING
TN
Enumeration date
06/23/2020
Last updated
06/23/2020
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