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Individual

SHERRY C OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1010 E 3RD ST, SUITE 201, CHATTANOOGA, TN 37403-2109
(423) 531-0001
(423) 531-0002
Mailing address
1010 E 3RD ST, SUITE 201, CHATTANOOGA, TN 37403-2109
(423) 531-0001
(423) 531-0002

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17907
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528534
TN
01
452687190
TAX ID
TN
05
Q008273
TN
Enumeration date
09/23/2013
Last updated
07/20/2015
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