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Individual

DEONDRA WHEELER HOLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1200 DODSON AVE, CHATTANOOGA, TN 37406-3214
(423) 778-2800
Mailing address
1200 DODSON AVE, CHATTANOOGA, TN 37406-3214

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19979
TN
363LP2300X
Primary Care Nurse Practitioner
1-126420
AL

Other

Enumeration date
09/12/2013
Last updated
06/02/2016
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