Individual
MS. TINA QUENTELLA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
605 GLENWOOD DR, SUITE 200, CHATTANOOGA, TN 37404-1108
(423) 698-1844
(423) 624-2226
Mailing address
PO BOX 440261, NASHVILLE, TN 37244-0261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN00000012185
TN
363L00000X
Nurse Practitioner
RN161065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3644034
—
TN
05
—
Q017903
—
TN
Enumeration date
08/20/2006
Last updated
03/01/2016
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