Individual
STEPHANIE NIDIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3328 JENKINS RD STE 200, CHATTANOOGA, TN 37421-1298
(865) 274-7706
Mailing address
7013 GENOA DR, CHATTANOOGA, TN 37421-5747
(865) 274-7706
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
24120
TN
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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