Individual
MICHELLE ESTHER WRIGHT GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1301 MCCALLIE AVE STE 200, CHATTANOOGA, TN 37404-2934
(423) 710-3864
(423) 710-3865
Mailing address
PO BOX 8308, CHATTANOOGA, TN 37414-0308
(423) 710-3864
(423) 710-3865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13168
TN
363LF0000X
Family Nurse Practitioner
13168
TN
363LF0000X
Family Nurse Practitioner
26NJ00120500
NJ
363LF0000X
Family Nurse Practitioner
RN212025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3341662
MEDICARE PTAN
TN
01
—
33416621
MEDICARE PTAN
TN
01
—
3370172
MEDICARE PTAN-GROUP
TN
01
—
3726561
MEDICARE PTAN-GROUP
TN
Enumeration date
12/26/2006
Last updated
07/12/2022
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