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Individual

DR. MCKINLEY JACKSON WAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP-PC

Contact information

Practice address
900 E 3RD ST, CHATTANOOGA, TN 37403-2101
(423) 778-5910
Mailing address
1286 NEYLAND CIR, HIXSON, TN 37343-6901
(706) 691-5547

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
233323
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
34655
TN

Other

Enumeration date
11/02/2023
Last updated
11/02/2023
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