Individual
MRS. SUSAN B. GAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, PNP
Contact information
Practice address
910 BLACKFORD STREET, CHATTANOOGA, TN 37403-1405
(423) 778-6476
(423) 778-4232
Mailing address
PO BOX 11503, CHATTANOOGA, TN 37401-2503
(423) 778-3274
(423) 778-2255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13768
TN
363L00000X
Nurse Practitioner
ARNP2953602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306729700
—
FL
05
—
451755976A
—
GA
Enumeration date
07/21/2005
Last updated
10/07/2010
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