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Individual

VIVIAN GRACE PARHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RN AGPCNP

Contact information

Practice address
3475 BRAINERD RD STE B, CHATTANOOGA, TN 37411-3550
(423) 800-8337
(423) 760-8257
Mailing address
3475 BRAINERD RD STE B, CHATTANOOGA, TN 37411-3550
(423) 800-8337
(423) 760-8257

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
308301
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
34016
TN

Other

Enumeration date
09/13/2017
Last updated
10/30/2023
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