Individual
KRISTINA BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1405 COWART ST, CHATTANOOGA, TN 37408-1176
(423) 266-3331
Mailing address
4601 ALABAMA AVE, CHATTANOOGA, TN 37409-1619
(423) 413-6353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30289
TN
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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