Individual provider · Type 1 NPI
Ansley Johnson Madole
Family Nurse Practitioner · Ooltewah, TN
NPI number
1144084146
Active
Practice location
9447 Bradmore Ln Ste 201
Ooltewah, TN 37363-8236
Mailing address
350 Waterwalk Pl Apt 116
Chattanooga, TN 37406-1844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 35687 (TN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1144084146
Ansley Johnson Madole's National Provider Identifier is 1144084146, issued on Feb 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ooltewah, TN. The record was last updated on Feb 9, 2024.