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JAQUELINE E PITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3308
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10795
TN
367500000X
Certified Registered Nurse Anesthetist
RN118794
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3631085
TN
01
4118703
BCBS OF TN
TN
01
P00335444
RAILROAD MEDICARE
Enumeration date
12/30/2005
Last updated
07/09/2007
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