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Individual

CAROLINE ELISABETH GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
5000 ALPHA LN, HIXSON, TN 37343-4054
(423) 870-1662
(423) 877-4845
Mailing address
5000 ALPHA LN, HIXSON, TN 37343-4054
(423) 870-1662
(423) 877-4845

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704232189
MI
363LF0000X
Family Nurse Practitioner
Primary
APN0000016421
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1527191
TN
01
4321881
BCBS OF TN
TN
Enumeration date
02/02/2012
Last updated
08/12/2021
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