Individual provider · Type 1 NPI

Candice Marie Mathis, RN BSN

Student in an Organized Health Care Education/Training Program · Chattanooga, TN

NPI number 1003734096 Active

Practice location

6031 Shallowford Rd
Chattanooga, TN 37421-1983

Call (423) 876-2229 Map

Fax (423) 643-0699

Mailing address

10109 Birchwood Pike
Harrison, TN 37341-7908

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003734096

Candice Marie Mathis, RN BSN's National Provider Identifier is 1003734096, issued on Jul 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 7, 2026.