Individual provider · NPI-1

Susan Allen

Nurse Practitioner, Family · Chattanooga, TN

NPI number1396117685
StatusActive
Last updated in NPPESOct 26, 2015

Details

NPI
1396117685
Entity type
Individual (NPI-1)
Name
Susan Allen
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2015
Last updated
Oct 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family20612TNYes
363LF0000X Nurse Practitioner, Family21381CA

Other names

  • Susan Berridge (Former Name)

Practice location

5705 Marlin Rd
Chattanooga, TN 37411-5508

Phone 423-855-8220

Mailing address

4862 College Dr E
Ooltewah, TN 37363-5883

Phone 909-991-5443

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