Individual
JUSTIN EUGENE REASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2114 BAILEY AVE, CHATTANOOGA, TN 37404-3122
(865) 256-1681
Mailing address
2114 BAILEY AVE, CHATTANOOGA, TN 37404-3122
(865) 256-1681
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34196
TN
Other
Enumeration date
06/06/2023
Last updated
07/18/2023
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