Individual
CHASITY DANIELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6005 KINGSTON PIKE, KNOXVILLE, TN 37919-6346
(865) 588-5156
Mailing address
1454 OLD HICKORY LN, LENOIR CITY, TN 37772-7048
(606) 269-8580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN17536
TN
Other
Enumeration date
04/01/2013
Last updated
03/03/2022
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