Individual provider · NPI-1

Katelyn Diana Anderson, FNP-BC

Nurse Practitioner, Family · Chattanooga, TN

NPI number1346734720
StatusActive
Last updated in NPPESJun 5, 2024

Details

NPI
1346734720
Entity type
Individual (NPI-1)
Name
Mrs. Katelyn Diana Anderson
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2018
Certification date
Jun 5, 2024
Last updated
Jun 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family23934TNYes
363LF0000X Nurse Practitioner, FamilyGAA-NP002185GA

Other names

  • Katelyn Diana Anderson (Former Name)

Practice location

1720 Gunbarrel Rd Ste 400
Chattanooga, TN 37421-3192

Phone 423-497-5359

Mailing address

4976 Alpha Ln
Hixson, TN 37343-5470

Phone 423-497-5355

Other practice locations

101 Crye Leike Dr
Fort Oglethorpe, GA 30742-4056

Phone 706-648-4336 · Fax 706-861-4597

1011 Professional Blvd
Dalton, GA 30720-2506

Phone 706-217-6950 · Fax 706-217-6967

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