Individual
KAITLYN BAYLI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(423) 778-7000
Mailing address
7437 ALLEMANDE WAY APT 111, CHATTANOOGA, TN 37421-4726
(423) 223-6458
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
35226
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2023
Last updated
12/13/2023
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