Individual
MRS. JANICE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4015 HIGHWOOD DR, CHATTANOOGA, TN 37415-3101
(423) 451-7623
(423) 451-7677
Mailing address
9400 SPARTA HWY, CROSSVILLE, TN 38572-7282
(931) 277-5992
(931) 277-5996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14438
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14438
LICENSE
TN
01
—
14438
LICENSE
—
01
—
280155
AMERICAN NURSES CREDENTIALING CENTER CERTIFICATION
TN
01
—
280155
AMERICAN NURSES CREDENTIALING CENTER CERTIFICATION
—
Enumeration date
10/23/2006
Last updated
05/13/2024
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