Individual
BRENDA T OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 499-5655
(423) 499-8085
Mailing address
PO BOX 116638, MEMORIAL HEALTH PARTNERS FOUNDATION, ATLANTA, GA 30368
(423) 499-5655
(423) 499-8085
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000005595
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3345995
—
TN
01
—
4114023
BCBS-TN
TN
01
—
P00225213
RAILROAD MEDICARE
TN
Enumeration date
07/24/2006
Last updated
02/27/2013
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