Individual
KRISTEN MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
Mailing address
9221 LAWFORD WAY APT 310, OOLTEWAH, TN 37363-5007
(423) 394-0621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30066
TN
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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